ROBERTA KAY JAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118053

License Status

NOT RENEWED

Business

First Name

ROBERTA

Middle

KAY

Last Name

JAKE

Business Name

ROBERTA KAY JAKE

Original Issue Date

07/09/1997

Effective Date

02/25/2016

Expiration Date

03/31/2017

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

05/10/2017