KASSONDRA LYNETTE JACKSON - Pharmacist License in Indiana | # 049149183

KASSONDRA LYNETTE JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149183

License Status

NOT RENEWED

Business

N

First Name

KASSONDRA

Middle

LYNETTE

Last Name

JACKSON

Business Name

KASSONDRA LYNETTE JACKSON

Original Issue Date

06/24/2003

Effective Date

02/16/2010

Expiration Date

03/31/2011

State

IN

Ever Disciplined

N

LastModifiedDate

05/12/2011