KIMBERLY MARIE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122829

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

MARIE

Last Name

JACKSON

Business Name

KIMBERLY MARIE JACKSON

Original Issue Date

09/24/1998

Effective Date

09/24/1998

Expiration Date

03/31/1999

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005