MALIA A JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188468

License Status

NOT RENEWED

Business

First Name

MALIA

Middle

Last Name

JACOBS

Business Name

MALIA A JACOBS

Original Issue Date

12/02/2008

Effective Date

02/28/2011

Expiration Date

03/31/2012

City

ALBERS

State

Zip

62215

County

CLINTON

Ever Disciplined

LastModifiedDate

05/07/2012