JACOB LEE CARPENTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286708

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

LEE

Last Name

CARPENTER

Business Name

JACOB LEE CARPENTER

Original Issue Date

10/22/2021

Effective Date

10/22/2021

Expiration Date

05/31/2022

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/27/2022