JACOB DANIEL FOUTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156049

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

DANIEL

Last Name

FOUTS

Business Name

JACOB DANIEL FOUTS

Original Issue Date

07/09/2004

Effective Date

07/09/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006