JACOB ALLAN MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282567

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

ALLAN

Last Name

MARTIN

Business Name

JACOB ALLAN MARTIN

Original Issue Date

05/24/2021

Effective Date

05/24/2021

Expiration Date

05/31/2022

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

07/27/2022