JACOB G KUBICKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204101

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

KUBICKI

Business Name

JACOB G KUBICKI

Original Issue Date

05/12/2011

Effective Date

01/15/2014

Expiration Date

03/31/2015

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

05/11/2015