KRISTOPHER RAY JACKSON - Pharmacist License in Illinois | # 049145199

KRISTOPHER RAY JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145199

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005