CHRISTINA RAE JACOBY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127703

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

RAE

Last Name

JACOBY

Business Name

CHRISTINA RAE JACOBY

Original Issue Date

09/28/1999

Effective Date

09/28/1999

Expiration Date

03/31/2003

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005