JACOB RUSSELL HALTERMAN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163438

License Status

ACTIVE

Business

First Name

JACOB

Middle

RUSSELL

Last Name

HALTERMAN

Business Name

JACOB RUSSELL HALTERMAN

Original Issue Date

09/01/2005

Effective Date

03/10/2025

Expiration Date

03/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

01/30/2026