ELIZABETH JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114096

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Last Name

JACKSON

Business Name

ELIZABETH JACKSON

Original Issue Date

04/25/1996

Effective Date

04/25/1996

Expiration Date

03/31/2004

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005