DEVION L JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145060

License Status

NOT RENEWED

Business

First Name

DEVION

Middle

Last Name

JACKSON

Business Name

DEVION L JACKSON

Original Issue Date

10/02/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

EAST ST. LOUIS

State

Zip

62204

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/06/2009