ANTHONY R JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173363

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

JACKSON

Business Name

ANTHONY R JACKSON

Original Issue Date

12/27/2006

Effective Date

03/25/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011