AMANDA NICHOLE JACKSON - Pharmacist License in Illinois | # 049144287

AMANDA NICHOLE JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144287

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

NICHOLE

Last Name

JACKSON

Business Name

AMANDA NICHOLE JACKSON

Original Issue Date

08/22/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009