TARA LYN JACOBS - Pharmacist License in Illinois | # 049109497

TARA LYN JACOBS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109497

License Status

NOT RENEWED

Business

N

First Name

TARA

Middle

LYN

Last Name

JACOBS

Business Name

TARA LYN JACOBS

Original Issue Date

02/03/1995

Effective Date

02/03/1995

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005