JACOB DANIEL LYON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264306

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

DANIEL

Last Name

LYON

Business Name

JACOB DANIEL LYON

Original Issue Date

04/10/2019

Effective Date

04/10/2019

Expiration Date

09/30/2020

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/08/2021