KEITH L JACKSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029585

License Status

INACTIVE

Business

First Name

KEITH L

Last Name

JACKSON

Business Name

KEITH L JACKSON

Original Issue Date

07/27/1973

Effective Date

07/27/1973

Expiration Date

03/31/1994

City

MESA

State

Zip

85202

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005