NICOLE L JACKSON - Pharmacist License in Illinois | # 049159282

NICOLE L JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159282

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

L

Last Name

JACKSON

Business Name

NICOLE L JACKSON

Original Issue Date

02/17/2005

Effective Date

02/17/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006