DONNA W JACOBSEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125618

License Status

INACTIVE

Business

First Name

DONNA

Middle

Last Name

JACOBSEN

Business Name

DONNA W JACOBSEN

Original Issue Date

04/26/1999

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

LECLAIRE

State

Zip

52753

County

IOWA

Ever Disciplined

LastModifiedDate

01/10/2008