JACOB LEE DE MOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035178

License Status

NOT RENEWED

Business

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

City

PHOENIX

State

Zip

85044

County

ARIZONA

Ever Disciplined

LastModifiedDate

12/06/2005