SANDRA A JACOBSEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174574

License Status

INACTIVE

Business

First Name

SANDRA

Middle

Last Name

JACOBSEN

Business Name

SANDRA A JACOBSEN

Original Issue Date

03/01/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

01/06/2009