LORI M JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152990

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

JACKSON

Business Name

LORI M JACKSON

Original Issue Date

01/23/2004

Effective Date

01/14/2009

Expiration Date

03/31/2010

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

05/04/2010