JACOB AUGUSTINE LEE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171162

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

AUGUSTINE

Last Name

LEE

Business Name

JACOB AUGUSTINE LEE

Original Issue Date

09/07/2006

Effective Date

09/07/2006

Expiration Date

03/31/2007

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007