JACOB MICHAEL THOMPSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144270

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

MICHAEL

Last Name

THOMPSON

Business Name

JACOB MICHAEL THOMPSON

Original Issue Date

08/22/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/06/2009