MALCOLM M JACKSON - Pharmacist License in Illinois | # 049176811

MALCOLM M JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176811

License Status

NOT RENEWED

Business

N

First Name

MALCOLM

Middle

M

Last Name

JACKSON

Prefix

MR

Business Name

MALCOLM M JACKSON

Original Issue Date

06/06/2007

Effective Date

06/06/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008