WAYNE A JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112703

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007