JACOB TODD NEWKIRK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142669

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

TODD

Last Name

NEWKIRK

Business Name

JACOB TODD NEWKIRK

Original Issue Date

05/29/2002

Effective Date

05/29/2002

Expiration Date

03/31/2003

City

MOUNT CARMEL

State

Zip

62863

County

EDWARDS

Ever Disciplined

LastModifiedDate

10/20/2005