SAMANTHA KAYE JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202121

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

KAYE

Last Name

JACOBS

Business Name

SAMANTHA KAYE JACOBS

Original Issue Date

01/03/2011

Effective Date

03/08/2016

Expiration Date

03/31/2017

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2017