SADIE L JACOB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049232515

License Status

NOT RENEWED

Business

First Name

SADIE

Middle

Last Name

JACOB

Prefix

Business Name

SADIE L JACOB

Original Issue Date

04/20/2015

Effective Date

04/20/2015

Expiration Date

03/31/2016

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/20/2016