JACOB TODD NEWKIRK - Pharmacist License in Illinois | # 049142669

JACOB TODD NEWKIRK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142669

License Status

NOT RENEWED

Business

N

First Name

JACOB

Middle

TODD

Last Name

NEWKIRK

Business Name

JACOB TODD NEWKIRK

Original Issue Date

05/29/2002

Effective Date

05/29/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005