LILLIAN L MOLLER JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183055

License Status

NOT RENEWED

Business

First Name

LILLIAN

Middle

Last Name

MOLLER JACOBS

Business Name

LILLIAN L MOLLER JACOBS

Original Issue Date

03/25/2008

Effective Date

03/23/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010