MICHAEL WAYNE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060019

License Status

NOT RENEWED

Business

First Name

MICHAEL WAYNE

Last Name

JACKSON

Business Name

MICHAEL WAYNE JACKSON

Original Issue Date

08/03/1973

Effective Date

08/03/1973

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005