KELLY A JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089595

License Status

NOT RENEWED

Business

First Name

KELLY A

Last Name

JACKSON

Business Name

KELLY A JACKSON

Original Issue Date

04/15/1989

Effective Date

04/15/1989

Expiration Date

03/31/1990

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005