JACOBSON J MAMMARAPPALLIL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125013

License Status

NOT RENEWED

Business

First Name

JACOBSON

Middle

Last Name

MAMMARAPPALLIL

Business Name

JACOBSON J MAMMARAPPALLIL

Original Issue Date

03/12/1999

Effective Date

02/16/2010

Expiration Date

03/31/2011

City

TINLEY PARK

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011