STEPHANIE JUNE JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193543

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

JUNE

Last Name

JACOBS

Business Name

STEPHANIE JUNE JACOBS

Original Issue Date

08/10/2009

Effective Date

03/29/2017

Expiration Date

03/31/2018

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018