JACOB LEE LICKLIDER - Pharmacist License in Illinois | # 049199670

JACOB LEE LICKLIDER

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199670

License Status

INACTIVE

Business

N

First Name

JACOB

Middle

LEE

Last Name

LICKLIDER

Business Name

JACOB LEE LICKLIDER

Original Issue Date

07/29/2010

Effective Date

04/16/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

01/10/2021