BYRON S JACOBSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178882

License Status

NOT RENEWED

Business

First Name

BYRON

Middle

Last Name

JACOBSEN

Business Name

BYRON S JACOBSEN

Original Issue Date

08/31/2007

Effective Date

04/07/2009

Expiration Date

03/31/2010

City

DUNDEE

State

Zip

60118

County

KANE

Ever Disciplined

LastModifiedDate

05/04/2010