ANDREA JO JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105227

License Status

NOT RENEWED

Business

First Name

ANDREA JO

Last Name

JACKSON

Business Name

ANDREA JO JACKSON

Original Issue Date

11/16/1993

Effective Date

11/16/1993

Expiration Date

03/31/1996

City

PEKIN

State

Zip

61554

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005