BLESSY A JACOB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290339

License Status

NOT RENEWED

Business

First Name

BLESSY

Middle

Last Name

JACOB

Business Name

BLESSY A JACOB

Original Issue Date

01/10/2005

Effective Date

03/24/2014

Expiration Date

03/31/2016

City

TAPPAN

State

Zip

10983

County

NEW YORK

Ever Disciplined

LastModifiedDate

05/20/2016