JACOB LE ROY DEMOSS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023171

License Status

INACTIVE

Business

First Name

JACOB LE ROY

Last Name

DEMOSS

Business Name

JACOB LE ROY DEMOSS

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

SANTA CLAUS

State

Zip

42579

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005