EBONY M JACKSON - Pharmacist License in Wisconsin | # 049169777

EBONY M JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169777

License Status

NOT RENEWED

Business

N

First Name

EBONY

Middle

M

Last Name

JACKSON

Business Name

EBONY M JACKSON

Original Issue Date

07/05/2006

Effective Date

07/05/2006

Expiration Date

03/31/2007

State

WI

Ever Disciplined

N

LastModifiedDate

05/14/2007