MARY VIOLET JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133704

License Status

NOT RENEWED

Business

First Name

MARY

Middle

VIOLET

Last Name

JACKSON

Business Name

MARY VIOLET JACKSON

Original Issue Date

11/21/2000

Effective Date

11/21/2000

Expiration Date

03/31/2003

City

WILLIAMSFIELD

State

Zip

61489

County

KNOX

Ever Disciplined

LastModifiedDate

10/20/2005