JACOB G CHACKO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143921

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

CHACKO

Business Name

JACOB G CHACKO

Original Issue Date

07/30/2002

Effective Date

03/11/2009

Expiration Date

03/31/2010

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010