LA TONYA J JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127242

License Status

NOT RENEWED

Business

First Name

LA TONYA

Middle

Last Name

JACKSON

Business Name

LA TONYA J JACKSON

Original Issue Date

08/31/1999

Effective Date

08/31/1999

Expiration Date

03/31/2005

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005