SUSANNE MARY JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059935

License Status

NOT RENEWED

Business

First Name

SUSANNE MARY

Last Name

JACKSON

Business Name

SUSANNE MARY JACKSON

Original Issue Date

07/20/1973

Effective Date

07/20/1973

Expiration Date

03/31/1993

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005