MICHAEL WAYNE JACKSON - Pharmacist License in Illinois | # 049060019

MICHAEL WAYNE JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060019

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005