VANESSA A JACOBSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114120

License Status

NOT RENEWED

Business

First Name

VANESSA

Middle

Last Name

JACOBSEN

Business Name

VANESSA A JACOBSEN

Original Issue Date

05/01/1996

Effective Date

05/01/1996

Expiration Date

03/31/2001

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005