JACOB T WYSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200410

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

WYSS

Business Name

JACOB T WYSS

Original Issue Date

09/08/2010

Effective Date

01/27/2011

Expiration Date

03/31/2012

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

05/07/2012