NASTOSHA L JACKSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181118

License Status

INACTIVE

Business

First Name

NASTOSHA

Middle

Last Name

JACKSON

Business Name

NASTOSHA L JACKSON

Original Issue Date

12/12/2007

Effective Date

12/12/2007

Expiration Date

03/31/2008

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/10/2008