MITZI FRANCINE JACKSON - Pharmacist License in Illinois | # 049151982

MITZI FRANCINE JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151982

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005