STEPHANIE J JACOBSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168802

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

JACOBSEN

Business Name

STEPHANIE J JACOBSEN

Original Issue Date

05/22/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2009