JACOB D ETSCHEID Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170728

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

ETSCHEID

Business Name

JACOB D ETSCHEID

Original Issue Date

08/22/2006

Effective Date

08/22/2006

Expiration Date

03/31/2007

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/14/2007