JAKE COBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128071

License Status

NOT RENEWED

Business

First Name

JAKE

Last Name

COBURN

Business Name

JAKE COBURN

Original Issue Date

10/28/1999

Effective Date

10/28/1999

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005