JACOB O NGENO Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211312

License Status

INACTIVE

Business

First Name

JACOB

Middle

Last Name

NGENO

Prefix

Business Name

JACOB O NGENO

Original Issue Date

05/25/2012

Effective Date

03/02/2016

Expiration Date

03/31/2017

City

BLOOMINGTON

State

Zip

61704

Ever Disciplined

LastModifiedDate

01/13/2017