JOHN R JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174237

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

JACOBS

Business Name

JOHN R JACOBS

Original Issue Date

02/09/2007

Effective Date

02/09/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008