JACOB C ELDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152241

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

ELDER

Business Name

JACOB C ELDER

Original Issue Date

11/25/2003

Effective Date

03/24/2011

Expiration Date

03/31/2012

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

05/07/2012