JACOB VICKERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264223

License Status

NOT RENEWED

Business

First Name

JACOB

Last Name

VICKERMAN

Business Name

JACOB VICKERMAN

Original Issue Date

04/09/2019

Effective Date

04/09/2019

Expiration Date

09/30/2020

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/08/2021