STACY LONELL JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121586

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005