JAKE COBURN - Pharmacist License in Illinois | # 049128071

JAKE COBURN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128071

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005