RANDY DEON JACKSON - Pharmacist License in Illinois | # 049177775

RANDY DEON JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177775

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008