KRISTINE MARIE JACOBSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168511

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

MARIE

Last Name

JACOBSON

Business Name

KRISTINE MARIE JACOBSON

Original Issue Date

05/09/2006

Effective Date

01/20/2009

Expiration Date

03/31/2010

City

RACINE

State

Zip

53406

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/04/2010