JACOB STEVEN CONRAD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184588

License Status

INACTIVE

Business

First Name

JACOB

Middle

STEVEN

Last Name

CONRAD

Business Name

JACOB STEVEN CONRAD

Original Issue Date

05/30/2008

Effective Date

02/13/2013

Expiration Date

03/31/2014

City

WHEATFIELD

State

Zip

46392

Ever Disciplined

LastModifiedDate

01/09/2014