BRIAN THOMAS JACKSON - Pharmacist License in Illinois | # 049148361

BRIAN THOMAS JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148361

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

THOMAS

Last Name

JACKSON

Business Name

BRIAN THOMAS JACKSON

Original Issue Date

04/28/2003

Effective Date

04/28/2003

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005