CHIQUITA MICHELLE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158588

License Status

NOT RENEWED

Business

First Name

CHIQUITA

Middle

MICHELLE

Last Name

JACKSON

Business Name

CHIQUITA MICHELLE JACKSON

Original Issue Date

12/23/2004

Effective Date

02/16/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011