JACOB A DEMENT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231194

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

DEMENT

Prefix

Business Name

JACOB A DEMENT

Original Issue Date

02/17/2015

Effective Date

02/17/2015

Expiration Date

03/31/2016

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/20/2016