WAYNE A JACKSON - Pharmacist License in Illinois | # 049112703

WAYNE A JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112703

License Status

NOT RENEWED

Business

N

First Name

WAYNE A

Last Name

JACKSON

Business Name

WAYNE A JACKSON

Original Issue Date

12/07/1995

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007