MARIAMMA ABRAHAM JACOB - Pharmacist License in Illinois | # 049197251

MARIAMMA ABRAHAM JACOB

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197251

License Status

NOT RENEWED

Business

N

First Name

MARIAMMA

Middle

ABRAHAM

Last Name

JACOB

Business Name

MARIAMMA ABRAHAM JACOB

Original Issue Date

03/11/2010

Effective Date

03/11/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011