JACOB TYLER TRIGLETH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213418

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

TYLER

Last Name

TRIGLETH

Prefix

Business Name

JACOB TYLER TRIGLETH

Original Issue Date

09/11/2012

Effective Date

03/29/2013

Expiration Date

03/31/2014

City

ALTAMONT

State

Zip

62411

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

05/06/2014