CRYSTAL T JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169445

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

JACKSON

Business Name

CRYSTAL T JACKSON

Original Issue Date

06/20/2006

Effective Date

06/20/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007