JACOB LYLE POLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250196

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

LYLE

Last Name

POLSON

Business Name

JACOB LYLE POLSON

Original Issue Date

04/27/2017

Effective Date

04/27/2017

Expiration Date

03/31/2018

City

BURLINGTON

State

Zip

52601

Ever Disciplined

LastModifiedDate

06/19/2018