SAMANTHA E.L. JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121642

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

E.L.

Last Name

JACKSON

Business Name

SAMANTHA E.L. JACKSON

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005