LATISHA JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166885

License Status

NOT RENEWED

Business

First Name

LATISHA

Last Name

JACKSON

Business Name

LATISHA JACKSON

Original Issue Date

03/20/2006

Effective Date

03/20/2006

Expiration Date

03/31/2007

City

CARPENTERSVILLE

State

Zip

60110

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007