JACOB CHARLES SICINSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201054

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

CHARLES

Last Name

SICINSKI

Business Name

JACOB CHARLES SICINSKI

Original Issue Date

10/14/2010

Effective Date

01/23/2015

Expiration Date

03/31/2016

City

ALEXANDRIA

State

Zip

22309

Ever Disciplined

LastModifiedDate

05/20/2016