ANNAMMA JACOB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191610

License Status

NOT RENEWED

Business

First Name

ANNAMMA

Last Name

JACOB

Business Name

ANNAMMA JACOB

Original Issue Date

05/12/2009

Effective Date

05/12/2009

Expiration Date

03/31/2010

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010