TRACY I JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110755

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

JACKSON

Business Name

TRACY I JACKSON

Original Issue Date

06/06/1995

Effective Date

06/06/1995

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005