Stanley Gene Jacob
ExpiredIllinois license 049118072
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049118072
- Status
- Expired (Not Renewed)
- First issued
- July 9, 1997
- Expired
- March 31, 2000
- License holder
- Stanley Gene Jacob
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 07/09/1997
Contact
Sullivan, IL 61951
Moultrie County