Pharmacist
PHARMACY TECHNICIAN
049108273
NOT RENEWED
N
DANA K
JACKSON
DANA K JACKSON
09/27/1994
02/13/2009
03/31/2010
CALUMET CITY
IL
60409
COOK
Y
08/06/2010
2010005013
Refuse To Renew
08/06/2010
for being more than 30 days delinquent in the payment of child support.