DOROTHY LEE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064285

License Status

NOT RENEWED

Business

First Name

DOROTHY LEE

Last Name

JACKSON

Business Name

DOROTHY LEE JACKSON

Original Issue Date

10/03/1975

Effective Date

10/03/1975

Expiration Date

03/31/1984

City

EAST ST LOUIS

State

Zip

62205

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005