DOMINIQUE F JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174337

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

JACKSON

Business Name

DOMINIQUE F JACKSON

Original Issue Date

02/16/2007

Effective Date

02/16/2007

Expiration Date

03/31/2008

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008