SANDRA LEE JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062227

License Status

NOT RENEWED

Business

First Name

SANDRA LEE

Last Name

JACOBS

Business Name

SANDRA LEE JACOBS

Original Issue Date

09/13/1974

Effective Date

09/13/1974

Expiration Date

01/01/1997

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005