AVILA T JACKSON - Pharmacist License in Illinois | # 049099322

AVILA T JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099322

License Status

NOT RENEWED

Business

N

First Name

AVILA T

Last Name

JACKSON

Business Name

AVILA T JACKSON

Original Issue Date

02/05/1992

Effective Date

02/05/1992

Expiration Date

03/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005