SUJA JACOB Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163426

License Status

INACTIVE

Business

First Name

SUJA

Last Name

JACOB

Business Name

SUJA JACOB

Original Issue Date

09/01/2005

Effective Date

01/12/2009

Expiration Date

03/31/2010

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2010