AVILA T JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099322

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005