LADERIS JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156270

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005