JACOB WILLIAM VENATTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137278

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

WILLIAM

Last Name

VENATTA

Business Name

JACOB WILLIAM VENATTA

Original Issue Date

07/18/2001

Effective Date

07/18/2001

Expiration Date

03/31/2004

City

LERNA

State

Zip

62440

County

COLES

Ever Disciplined

LastModifiedDate

10/20/2005