ANTHONY JACOB Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051019552

License Status

INACTIVE

Business

First Name

ANTHONY

Last Name

JACOB

Business Name

ANTHONY JACOB

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005