JACOB WALLMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189664

License Status

NOT RENEWED

Business

First Name

JACOB

Last Name

WALLMAN

Prefix

Business Name

JACOB WALLMAN

Original Issue Date

02/16/2009

Effective Date

02/16/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010