ANTOINETTE MARIE JACKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122561

License Status

NOT RENEWED

Business

First Name

ANTOINETTE

Middle

MARIE

Last Name

JACKS

Business Name

ANTOINETTE MARIE JACKS

Original Issue Date

08/21/1998

Effective Date

08/21/1998

Expiration Date

03/31/1999

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005