JACOB DAVID WEBER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154108

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

DAVID

Last Name

WEBER

Business Name

JACOB DAVID WEBER

Original Issue Date

04/19/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

WALNUT

State

Zip

61376

County

BUREAU

Ever Disciplined

LastModifiedDate

05/14/2007