JACOB VANDEVER Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049324059

License Status

ACTIVE

Business

First Name

JACOB

Last Name

VANDEVER

Business Name

JACOB VANDEVER

Original Issue Date

09/22/2025

Effective Date

03/21/2026

Expiration Date

03/31/2027

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

03/21/2026