TIFFANY THELIA JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179898

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

THELIA

Last Name

JACKSON

Business Name

TIFFANY THELIA JACKSON

Original Issue Date

10/12/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

GALESBURG

State

Zip

61402

County

KNOX

Ever Disciplined

LastModifiedDate

05/06/2009