MABLE L JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083610

License Status

NOT RENEWED

Business

First Name

MABLE L

Last Name

JACKSON

Business Name

MABLE L JACKSON

Original Issue Date

01/02/1987

Effective Date

04/22/2015

Expiration Date

03/31/2016

City

EAST ST LOUIS

State

Zip

62203

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/20/2016