The holder whose full name is DE MOSS, JACOB L,come from Chandler AZ,hold the Pharmacist license(NO.26012101A) which status is Expired Non-Renewable.
| Name | DE MOSS, JACOB L |
|---|---|
| License Number | 26012101A |
| License Type | Pharmacist |
| License Status | Expired Non-Renewable |
| City | Chandler |
| State | AZ |