PATRICIA K JACOBSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157875

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

JACOBSON

Business Name

PATRICIA K JACOBSON

Original Issue Date

11/16/2004

Effective Date

03/30/2012

Expiration Date

03/31/2013

City

FOX LAKE

State

Zip

60020

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2013