SHANNON E JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172674

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

JACOBS

Business Name

SHANNON E JACOBS

Original Issue Date

11/17/2006

Effective Date

01/28/2009

Expiration Date

03/31/2010

City

LINCOLN

State

Zip

62656

Ever Disciplined

LastModifiedDate

05/04/2010