SCOTT EVAN JACOBSEN - Pharmacist License in Illinois | # 049209872

SCOTT EVAN JACOBSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209872

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013