TINA T JACOB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207224

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

JACOB

Business Name

TINA T JACOB

Original Issue Date

10/11/2011

Effective Date

01/23/2012

Expiration Date

03/31/2013

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2013