DANIELLE LATRICE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168286

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

LATRICE

Last Name

JACKSON

Business Name

DANIELLE LATRICE JACKSON

Original Issue Date

04/28/2006

Effective Date

03/06/2013

Expiration Date

03/31/2014

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/06/2014