KENNETH L JACOBSMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058461

License Status

NOT RENEWED

Business

First Name

KENNETH L

Last Name

JACOBSMA

Business Name

KENNETH L JACOBSMA

Original Issue Date

09/30/1972

Effective Date

09/30/1972

Expiration Date

01/01/1997

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005