ALICIA MARIE JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154483

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

MARIE

Last Name

JACOBS

Business Name

ALICIA MARIE JACOBS

Original Issue Date

05/21/2004

Effective Date

05/21/2004

Expiration Date

03/31/2005

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

10/20/2005