TIFFANY A JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162429

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

JACKSON

Business Name

TIFFANY A JACKSON

Original Issue Date

07/21/2005

Effective Date

03/20/2017

Expiration Date

03/31/2018

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018