MATHEW JACOB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152080

License Status

NOT RENEWED

Business

First Name

MATHEW

Last Name

JACOB

Business Name

MATHEW JACOB

Original Issue Date

11/06/2003

Effective Date

11/06/2003

Expiration Date

03/31/2004

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005