TRACIE M JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141146

License Status

NOT RENEWED

Business

First Name

TRACIE

Middle

Last Name

JACKSON

Business Name

TRACIE M JACKSON

Original Issue Date

03/05/2002

Effective Date

03/05/2002

Expiration Date

03/31/2003

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/20/2005