KEVIN D JACKSON - Pharmacist License in Illinois | # 049146404

KEVIN D JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146404

License Status

NOT RENEWED

Business

N

First Name

KEVIN

Middle

D

Last Name

JACKSON

Business Name

KEVIN D JACKSON

Original Issue Date

12/17/2002

Effective Date

12/17/2002

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005