SCOTT EVAN JACOBSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209872

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

EVAN

Last Name

JACOBSEN

Business Name

SCOTT EVAN JACOBSEN

Original Issue Date

03/23/2012

Effective Date

03/23/2012

Expiration Date

03/31/2013

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2013