SAM JACOB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189965

License Status

NOT RENEWED

Business

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

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/12/2011