LARRY W JACOBY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180329

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

Last Name

JACOBY

Prefix

Business Name

LARRY W JACOBY

Original Issue Date

11/01/2007

Effective Date

03/15/2021

Expiration Date

05/31/2022

City

GREENFIELD

State

Zip

62044

County

GREENE

Ever Disciplined

LastModifiedDate

07/27/2022