JACOB G TANKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145552

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

TANKER

Business Name

JACOB G TANKER

Original Issue Date

10/28/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2009