JACOB EDWARD WEATHERFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159478

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

EDWARD

Last Name

WEATHERFORD

Business Name

JACOB EDWARD WEATHERFORD

Original Issue Date

03/07/2005

Effective Date

03/25/2010

Expiration Date

03/31/2011

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/12/2011