DIANE CHRISTINE JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168393

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

CHRISTINE

Last Name

JACOBS

Business Name

DIANE CHRISTINE JACOBS

Original Issue Date

05/03/2006

Effective Date

05/03/2006

Expiration Date

03/31/2007

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

05/14/2007