LULU JAKUBISIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123097

License Status

NOT RENEWED

Business

First Name

LULU

Last Name

JAKUBISIN

Business Name

LULU JAKUBISIN

Original Issue Date

10/05/1998

Effective Date

10/05/1998

Expiration Date

03/31/2000

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005