LATOYA LACOLE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150618

License Status

NOT RENEWED

Business

First Name

LATOYA

Middle

LACOLE

Last Name

JACKSON

Business Name

LATOYA LACOLE JACKSON

Original Issue Date

09/17/2003

Effective Date

09/17/2003

Expiration Date

03/31/2004

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005