KEITH R JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055305

License Status

NOT RENEWED

Business

First Name

KEITH R

Last Name

JACKSON

Business Name

KEITH R JACKSON

Original Issue Date

01/01/1997

Effective Date

01/14/2015

Expiration Date

03/31/2016

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016