JACOB R SHASTEEN - Pharmacist License in Illinois | # 049204554

JACOB R SHASTEEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204554

License Status

NOT RENEWED

Business

N

First Name

JACOB

Middle

R

Last Name

SHASTEEN

Business Name

JACOB R SHASTEEN

Original Issue Date

06/01/2011

Effective Date

06/01/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012