SHEILA DIANE JACOBS Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059593

License Status

CANCELLED

Business

First Name

SHEILA DIANE

Last Name

JACOBS

Business Name

SHEILA DIANE JACOBS

Original Issue Date

06/01/1973

Effective Date

06/01/1973

Expiration Date

01/01/1997

City

MACON

State

Zip

62544

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005