SAM JACOB - Pharmacist License in Illinois | # 049189965

SAM JACOB

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189965

License Status

NOT RENEWED

Business

N

First Name

SAM

Last Name

JACOB

Business Name

SAM JACOB

Original Issue Date

03/02/2009

Effective Date

02/18/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011