JACOB M SAMUEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114439

License Status

NOT RENEWED

Business

First Name

JACOB M

Last Name

SAMUEL

Business Name

JACOB M SAMUEL

Original Issue Date

06/17/1996

Effective Date

06/17/1996

Expiration Date

03/31/2001

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005