JACOB DAVID THOMAS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179866

License Status

INACTIVE

Business

First Name

JACOB

Middle

DAVID

Last Name

THOMAS

Business Name

JACOB DAVID THOMAS

Original Issue Date

10/10/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/06/2009