MARK WYNN JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148787

License Status

NOT RENEWED

Business

First Name

MARK

Middle

WYNN

Last Name

JACKSON

Business Name

MARK WYNN JACKSON

Original Issue Date

06/11/2003

Effective Date

06/11/2003

Expiration Date

03/31/2004

City

HARVEY

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005