TIYUANA Y JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159683

License Status

NOT RENEWED

Business

First Name

TIYUANA

Middle

Last Name

JACKSON

Business Name

TIYUANA Y JACKSON

Original Issue Date

03/23/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007