MARIAH LEA JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269733

License Status

NOT RENEWED

Business

First Name

MARIAH

Middle

LEA

Last Name

JACKSON

Business Name

MARIAH LEA JACKSON

Original Issue Date

12/09/2019

Effective Date

12/09/2019

Expiration Date

09/30/2020

City

DAVENPORT

State

Zip

52803

Ever Disciplined

LastModifiedDate

01/08/2021