SANDRA A JACOBSEN - Pharmacist License in Illinois | # 049174574

SANDRA A JACOBSEN

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174574

License Status

INACTIVE

Business

N

First Name

SANDRA

Middle

A

Last Name

JACOBSEN

Business Name

SANDRA A JACOBSEN

Original Issue Date

03/01/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

01/06/2009