JACOB MAX RACICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276871

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

MAX

Last Name

RACICH

Business Name

JACOB MAX RACICH

Original Issue Date

10/22/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/27/2022