BLESSY A JACOB - Pharmacist License in Illinois | # 049158375

BLESSY A JACOB

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158375

License Status

NOT RENEWED

Business

N

First Name

BLESSY

Middle

A

Last Name

JACOB

Business Name

BLESSY A JACOB

Original Issue Date

12/15/2004

Effective Date

12/15/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006