AMMINIAMMA JACOB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124087

License Status

NOT RENEWED

Business

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

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005