DONALD LEE JACOBY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059703

License Status

NOT RENEWED

Business

First Name

DONALD LEE

Last Name

JACOBY

Business Name

DONALD LEE JACOBY

Original Issue Date

06/15/1973

Effective Date

06/15/1973

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005