RANDY DEON JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177775

License Status

NOT RENEWED

Business

First Name

RANDY

Middle

DEON

Last Name

JACKSON

Business Name

RANDY DEON JACKSON

Original Issue Date

07/12/2007

Effective Date

07/12/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008