JACOB M HAYES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208836

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

HAYES

Prefix

Business Name

JACOB M HAYES

Original Issue Date

01/20/2012

Effective Date

03/01/2013

Expiration Date

03/31/2014

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014