GOLDIE ANN JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150621

License Status

NOT RENEWED

Business

First Name

GOLDIE

Middle

ANN

Last Name

JACOBS

Business Name

GOLDIE ANN JACOBS

Original Issue Date

09/17/2003

Effective Date

03/05/2010

Expiration Date

03/31/2011

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2011