REGINA ANN JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149567

License Status

NOT RENEWED

Business

First Name

REGINA

Middle

ANN

Last Name

JACKSON

Business Name

REGINA ANN JACKSON

Original Issue Date

07/21/2003

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009