EARL M JACOBSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157083

License Status

NOT RENEWED

Business

First Name

EARL

Middle

Last Name

JACOBSON

Business Name

EARL M JACOBSON

Original Issue Date

09/02/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/06/2009