STACY LONELL JACKSON - Pharmacist License in Illinois | # 049121586

STACY LONELL JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121586

License Status

NOT RENEWED

Business

N

First Name

STACY

Middle

LONELL

Last Name

JACKSON

Business Name

STACY LONELL JACKSON

Original Issue Date

06/16/1998

Effective Date

06/16/1998

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005