JACOB D HAASE - Pharmacist License in Illinois | # 049211945

JACOB D HAASE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211945

License Status

NOT RENEWED

Business

N

First Name

JACOB

Middle

D

Last Name

HAASE

Prefix

MR

Business Name

JACOB D HAASE

Original Issue Date

06/29/2012

Effective Date

06/29/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013