TRACIE M JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161014

License Status

NOT RENEWED

Business

First Name

TRACIE M

Last Name

JACKSON

Business Name

TRACIE M JACKSON

Original Issue Date

05/16/2005

Effective Date

05/16/2005

Expiration Date

03/31/2006

City

URSA

State

Zip

62376

County

ADAMS

Ever Disciplined

LastModifiedDate

05/11/2006