JACOB R BACKHOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170170

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

BACKHOFF

Business Name

JACOB R BACKHOFF

Original Issue Date

07/24/2006

Effective Date

01/28/2014

Expiration Date

03/31/2015

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2015