ARIEL DENA JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170704

License Status

NOT RENEWED

Business

First Name

ARIEL

Middle

DENA

Last Name

JACKSON

Business Name

ARIEL DENA JACKSON

Original Issue Date

08/22/2006

Effective Date

03/09/2009

Expiration Date

03/31/2010

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010