TIFFANY N JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153164

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

JACKSON

Business Name

TIFFANY N JACKSON

Original Issue Date

02/04/2004

Effective Date

07/05/2011

Expiration Date

03/31/2012

City

RIVERDALE

State

Zip

60827

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012