JACQUELYN MARIE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134223

License Status

NOT RENEWED

Business

First Name

JACQUELYN

Middle

MARIE

Last Name

JACKSON

Business Name

JACQUELYN MARIE JACKSON

Original Issue Date

12/27/2000

Effective Date

12/27/2000

Expiration Date

03/31/2002

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005