JACOB MARK RENCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156040

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

MARK

Last Name

RENCH

Business Name

JACOB MARK RENCH

Original Issue Date

07/09/2004

Effective Date

07/09/2004

Expiration Date

03/31/2006

City

BRIGHTON

State

Zip

62012

County

JERSEY

Ever Disciplined

LastModifiedDate

05/11/2006