AMLY JACOB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101501

License Status

NOT RENEWED

Business

First Name

AMLY

Last Name

JACOB

Business Name

AMLY JACOB

Original Issue Date

10/14/1992

Effective Date

10/14/1992

Expiration Date

03/31/1993

City

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005