KELLY MARIE JACOBSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110677

License Status

NOT RENEWED

Business

First Name

KELLY MARIE

Last Name

JACOBSON

Business Name

KELLY MARIE JACOBSON

Original Issue Date

05/31/1995

Effective Date

05/31/1995

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005