RAQUEL S JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143491

License Status

NOT RENEWED

Business

First Name

RAQUEL

Middle

Last Name

JACKSON

Business Name

RAQUEL S JACKSON

Original Issue Date

07/02/2002

Effective Date

07/02/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005