BEVERLY J JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055795

License Status

NOT RENEWED

Business

First Name

BEVERLY J

Last Name

JACKSON

Business Name

BEVERLY J JACKSON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62705

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005