AUDREY LEVAULT JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030198

License Status

NOT RENEWED

Business

First Name

AUDREY LEVAULT

Last Name

JACOBS

Business Name

AUDREY LEVAULT JACOBS

Original Issue Date

09/09/1974

Effective Date

03/26/2018

Expiration Date

09/30/2020

City

DUNEDIN

State

Zip

34698

Ever Disciplined

LastModifiedDate

01/14/2021