JACOB K HAWTHORNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224530

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

HAWTHORNE

Business Name

JACOB K HAWTHORNE

Original Issue Date

04/14/2014

Effective Date

03/04/2016

Expiration Date

03/31/2017

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

05/10/2017