AMANDA NICHOLE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144287

License Status

NOT RENEWED

Business

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

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/06/2009