ANN JACOB MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242024

License Status

NOT RENEWED

Business

Title

First Name

ANN

Last Name

JACOB

Business Name

ANN JACOB MD

Original Issue Date

05/24/2016

Effective Date

05/24/2016

Expiration Date

03/31/2017

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017