CANDIS R JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142399

License Status

NOT RENEWED

Business

First Name

CANDIS

Middle

Last Name

JACKSON

Business Name

CANDIS R JACKSON

Original Issue Date

05/13/2002

Effective Date

05/13/2002

Expiration Date

03/31/2005

City

ALSIP

State

Zip

60803

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005