AMY GAIL JACOBUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106031

License Status

NOT RENEWED

Business

First Name

AMY

Middle

GAIL

Last Name

JACOBUS

Business Name

AMY GAIL JACOBUS

Original Issue Date

02/18/1994

Effective Date

02/18/1994

Expiration Date

03/31/1995

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005