MITZI FRANCINE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151982

License Status

NOT RENEWED

Business

First Name

MITZI

Middle

FRANCINE

Last Name

JACKSON

Business Name

MITZI FRANCINE JACKSON

Original Issue Date

10/30/2003

Effective Date

10/30/2003

Expiration Date

03/31/2005

City

DIXMOOR

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005