TANYA L JACKSON - Pharmacist License in Illinois | # 049141358

TANYA L JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141358

License Status

NOT RENEWED

Business

N

First Name

TANYA

Middle

L

Last Name

JACKSON

Business Name

TANYA L JACKSON

Original Issue Date

03/12/2002

Effective Date

03/12/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005