DEBRA A JACKSON - Pharmacist License in Illinois | # 049158518

DEBRA A JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158518

License Status

NOT RENEWED

Business

N

First Name

DEBRA

Middle

A

Last Name

JACKSON

Business Name

DEBRA A JACKSON

Original Issue Date

12/21/2004

Effective Date

12/21/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006