JACKIE DAVIS CANTLON - Pharmacist License in Illinois | # 049139340

JACKIE DAVIS CANTLON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139340

License Status

NOT RENEWED

Business

N

First Name

JACKIE

Middle

DAVIS

Last Name

CANTLON

Business Name

JACKIE DAVIS CANTLON

Original Issue Date

11/27/2001

Effective Date

11/27/2001

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005