NICOLE L JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159282

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

JACKSON

Business Name

NICOLE L JACKSON

Original Issue Date

02/17/2005

Effective Date

02/17/2005

Expiration Date

03/31/2006

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006