MELISSA JEAN JACOBE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155278

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

JEAN

Last Name

JACOBE

Business Name

MELISSA JEAN JACOBE

Original Issue Date

06/16/2004

Effective Date

06/16/2004

Expiration Date

03/31/2005

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005