TATANISHA S JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164953

License Status

NOT RENEWED

Business

First Name

TATANISHA

Middle

Last Name

JACKSON

Business Name

TATANISHA S JACKSON

Original Issue Date

11/14/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007