DE'VALE JAMALL JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149824

License Status

NOT RENEWED

Business

First Name

DE'VALE

Middle

JAMALL

Last Name

JACKSON

Business Name

DE'VALE JAMALL JACKSON

Original Issue Date

08/14/2003

Effective Date

03/11/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015