JACOB DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201286

License Status

NOT RENEWED

Business

First Name

JACOB

Last Name

DAVIS

Prefix

Business Name

JACOB DAVIS

Original Issue Date

10/27/2010

Effective Date

10/27/2010

Expiration Date

03/31/2011

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/12/2011