MICHAEL THOMAS JACOBI Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051294732

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

THOMAS

Last Name

JACOBI

Business Name

MICHAEL THOMAS JACOBI

Original Issue Date

01/25/2011

Effective Date

03/29/2012

Expiration Date

03/31/2014

City

COLGATE

State

Zip

53017

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/09/2014