TAFFY L JACOB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290560

License Status

NOT RENEWED

Business

First Name

TAFFY

Middle

Last Name

JACOB

Business Name

TAFFY L JACOB

Original Issue Date

06/27/2005

Effective Date

06/27/2005

Expiration Date

03/31/2006

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/11/2006