ALEXANDRA M JACOBY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150822

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

Last Name

JACOBY

Business Name

ALEXANDRA M JACOBY

Original Issue Date

09/24/2003

Effective Date

03/11/2009

Expiration Date

03/31/2010

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/04/2010