JACOB XAVIER HERNANDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260378

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

XAVIER

Last Name

HERNANDEZ

Business Name

JACOB XAVIER HERNANDEZ

Original Issue Date

10/03/2018

Effective Date

10/03/2018

Expiration Date

03/31/2019

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019