CASEY R JACOBY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198242

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

Last Name

JACOBY

Business Name

CASEY R JACOBY

Original Issue Date

05/07/2010

Effective Date

01/14/2011

Expiration Date

03/31/2012

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/07/2012