DAVID ALVIN JACKSON - Pharmacist License in Illinois | # 049066472

DAVID ALVIN JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066472

License Status

NOT RENEWED

Business

N

First Name

DAVID ALVIN

Last Name

JACKSON

Business Name

DAVID ALVIN JACKSON

Original Issue Date

11/26/1976

Effective Date

11/26/1976

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005