LUELLA M JACOBY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067468

License Status

NOT RENEWED

Business

First Name

LUELLA M

Last Name

JACOBY

Business Name

LUELLA M JACOBY

Original Issue Date

06/10/1977

Effective Date

06/10/1977

Expiration Date

03/31/1986

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005