JACOBRIONNA SHAJAI TENNIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267434

License Status

NOT RENEWED

Business

First Name

JACOBRIONNA

Middle

SHAJAI

Last Name

TENNIN

Business Name

JACOBRIONNA SHAJAI TENNIN

Original Issue Date

08/19/2019

Effective Date

02/05/2020

Expiration Date

03/31/2021

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

07/20/2021