MATTHEW W JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177676

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

JACKSON

Business Name

MATTHEW W JACKSON

Original Issue Date

07/10/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/06/2009