JACOB NATHANIEL ROGGENSACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256890

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

NATHANIEL

Last Name

ROGGENSACK

Business Name

JACOB NATHANIEL ROGGENSACK

Original Issue Date

03/20/2018

Effective Date

03/04/2019

Expiration Date

09/30/2020

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2021