JADA DOMINIQUE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137260

License Status

NOT RENEWED

Business

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

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005