DENISE SUE JACOBSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217115

License Status

NOT RENEWED

Business

First Name

DENISE

Middle

SUE

Last Name

JACOBSON

Business Name

DENISE SUE JACOBSON

Original Issue Date

04/02/2013

Effective Date

05/25/2016

Expiration Date

03/31/2017

City

TAYLOR RIDGE

State

Zip

61284

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/10/2017