ED JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172750

License Status

NOT RENEWED

Business

First Name

Last Name

JACOBS

Business Name

ED JACOBS

Original Issue Date

11/21/2006

Effective Date

11/21/2006

Expiration Date

03/31/2007

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/14/2007