LA'TOYA MARIE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142132

License Status

NOT RENEWED

Business

First Name

LA'TOYA

Middle

MARIE

Last Name

JACKSON

Business Name

LA'TOYA MARIE JACKSON

Original Issue Date

05/02/2002

Effective Date

05/02/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005