JACOB IDICHERIYA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174776

License Status

INACTIVE

Business

First Name

JACOB

Last Name

IDICHERIYA

Business Name

JACOB IDICHERIYA

Original Issue Date

03/09/2007

Effective Date

03/12/2010

Expiration Date

03/31/2011

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

01/05/2011