ELYSSA M JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141502

License Status

NOT RENEWED

Business

First Name

ELYSSA

Middle

Last Name

JACOBS

Business Name

ELYSSA M JACOBS

Original Issue Date

03/22/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/02/2008