TAYLOR NICOLE JACOBSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049284866

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

NICOLE

Last Name

JACOBSEN

Business Name

TAYLOR NICOLE JACOBSEN

Original Issue Date

08/16/2021

Effective Date

08/16/2021

Expiration Date

05/31/2022

City

NEW BADEN

State

Zip

62265

County

CLINTON

Ever Disciplined

LastModifiedDate

07/27/2022