CARISSA JACOBSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133170

License Status

NOT RENEWED

Business

First Name

CARISSA

Last Name

JACOBSON

Business Name

CARISSA JACOBSON

Original Issue Date

10/16/2000

Effective Date

10/16/2000

Expiration Date

03/31/2001

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

10/21/2005