LADERIS JACKSON - Pharmacist License in Illinois | # 049156270

LADERIS JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156270

License Status

NOT RENEWED

Business

N

First Name

LADERIS

Last Name

JACKSON

Business Name

LADERIS JACKSON

Original Issue Date

07/28/2004

Effective Date

07/28/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005