AMMINIAMMA JACOB - Pharmacist License in Illinois | # 049124087

AMMINIAMMA JACOB

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124087

License Status

NOT RENEWED

Business

N

First Name

AMMINIAMMA

Last Name

JACOB

Business Name

AMMINIAMMA JACOB

Original Issue Date

12/08/1998

Effective Date

12/08/1998

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005