JOHN RALPH JACOBSON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065332

License Status

CANCELLED

Business

First Name

JOHN RALPH

Last Name

JACOBSON

Business Name

JOHN RALPH JACOBSON

Original Issue Date

05/14/1976

Effective Date

05/14/1976

Expiration Date

01/01/1997

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005