JACOB LEE DE MOSS - Pharmacist License in Arizona | # 051035178

JACOB LEE DE MOSS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035178

License Status

NOT RENEWED

Business

N

First Name

JACOB LEE

Last Name

DE MOSS

Business Name

JACOB LEE DE MOSS

Original Issue Date

02/03/1984

Effective Date

02/03/1984

Expiration Date

03/31/2002

State

AZ

Ever Disciplined

N

LastModifiedDate

12/06/2005