JADA DOMINIQUE JACKSON - Pharmacist License in Illinois | # 049137260

JADA DOMINIQUE JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137260

License Status

NOT RENEWED

Business

N

First Name

JADA

Middle

DOMINIQUE

Last Name

JACKSON

Business Name

JADA DOMINIQUE JACKSON

Original Issue Date

07/18/2001

Effective Date

07/18/2001

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005