ADAM JAMES JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136830

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

JAMES

Last Name

JACKSON

Business Name

ADAM JAMES JACKSON

Original Issue Date

06/27/2001

Effective Date

06/27/2001

Expiration Date

03/31/2002

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

12/06/2005