MARISSA A JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164269

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

Last Name

JACKSON

Business Name

MARISSA A JACKSON

Original Issue Date

09/29/2005

Effective Date

10/06/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60619

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007