KRISTOPHER RAY JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145199

License Status

NOT RENEWED

Business

First Name

KRISTOPHER

Middle

RAY

Last Name

JACKSON

Business Name

KRISTOPHER RAY JACKSON

Original Issue Date

10/10/2002

Effective Date

10/10/2002

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005