ANNIE JACOB PRABHA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225061

License Status

NOT RENEWED

Business

First Name

ANNIE

Middle

JACOB

Last Name

PRABHA

Business Name

ANNIE JACOB PRABHA

Original Issue Date

05/08/2014

Effective Date

05/08/2014

Expiration Date

03/31/2015

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015