ANNAMMA JACOB - Pharmacist License in Illinois | # 049191610

ANNAMMA JACOB

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191610

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010