TIFFANE M JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134660

License Status

NOT RENEWED

Business

First Name

TIFFANE

Middle

Last Name

JACKSON

Business Name

TIFFANE M JACKSON

Original Issue Date

02/22/2001

Effective Date

02/22/2001

Expiration Date

03/31/2004

City

RICHTON PARK

State

Zip

60471

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005