RYAN M JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189782

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

JACOBS

Prefix

Business Name

RYAN M JACOBS

Original Issue Date

02/21/2009

Effective Date

03/12/2010

Expiration Date

03/31/2011

City

FULTS

State

Zip

62244

County

MONROE

Ever Disciplined

LastModifiedDate

05/12/2011