DAPHNE J JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121718

License Status

NOT RENEWED

Business

First Name

DAPHNE

Middle

Last Name

JACKSON

Business Name

DAPHNE J JACKSON

Original Issue Date

06/22/1998

Effective Date

03/18/2015

Expiration Date

03/31/2016

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/20/2016