NATHAN B JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172748

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

Last Name

JACKSON

Business Name

NATHAN B JACKSON

Original Issue Date

11/21/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008