TARA LYN JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109497

License Status

NOT RENEWED

Business

First Name

TARA

Middle

LYN

Last Name

JACOBS

Business Name

TARA LYN JACOBS

Original Issue Date

02/03/1995

Effective Date

02/03/1995

Expiration Date

03/31/2001

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/21/2005