MADISON LEIGH JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253781

License Status

NOT RENEWED

Business

First Name

MADISON

Middle

LEIGH

Last Name

JACOBS

Business Name

MADISON LEIGH JACOBS

Original Issue Date

10/17/2017

Effective Date

03/04/2019

Expiration Date

09/30/2020

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

01/08/2021