JACOB ALEXANDER IVEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137173

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

ALEXANDER

Last Name

IVEY

Business Name

JACOB ALEXANDER IVEY

Original Issue Date

07/10/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/14/2007