ANTOINETTE L JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100020

License Status

NOT RENEWED

Business

First Name

ANTOINETTE L

Last Name

JACKSON

Business Name

ANTOINETTE L JACKSON

Original Issue Date

04/29/1992

Effective Date

04/29/1992

Expiration Date

03/31/2000

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005