DORA J JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061114

License Status

NOT RENEWED

Business

First Name

DORA J

Last Name

JACOBS

Business Name

DORA J JACOBS

Original Issue Date

03/15/1974

Effective Date

03/15/1974

Expiration Date

03/31/1984

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005