JACOB R SHASTEEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204554

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

SHASTEEN

Business Name

JACOB R SHASTEEN

Original Issue Date

06/01/2011

Effective Date

06/01/2011

Expiration Date

03/31/2012

City

MACON

State

Zip

62544

County

MACON

Ever Disciplined

LastModifiedDate

05/07/2012