JEFFREY MARK JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124583

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

MARK

Last Name

JACKSON

Business Name

JEFFREY MARK JACKSON

Original Issue Date

01/28/1999

Effective Date

01/28/1999

Expiration Date

03/31/2001

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005