PIUS DIJO JACOB - Pharmacist License in Illinois | # 049140918

PIUS DIJO JACOB

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140918

License Status

NOT RENEWED

Business

N

First Name

PIUS

Middle

DIJO

Last Name

JACOB

Business Name

PIUS DIJO JACOB

Original Issue Date

02/21/2002

Effective Date

02/21/2002

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005