BRIAN THOMAS JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148361

License Status

NOT RENEWED

Business

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

City

COOKSVILLE

State

Zip

61730

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005