JACOB D HAASE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211945

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

HAASE

Prefix

Business Name

JACOB D HAASE

Original Issue Date

06/29/2012

Effective Date

06/29/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013