ELGENE W JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029861

License Status

NOT RENEWED

Business

First Name

ELGENE W

Last Name

JACOBS

Business Name

ELGENE W JACOBS

Original Issue Date

03/13/1974

Effective Date

03/13/1974

Expiration Date

01/01/1997

City

FT DODGE

State

Zip

50501

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005