KYESHA D SHAW JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183483

License Status

NOT RENEWED

Business

First Name

KYESHA

Middle

Last Name

SHAW JACKSON

Business Name

KYESHA D SHAW JACKSON

Original Issue Date

04/11/2008

Effective Date

07/29/2015

Expiration Date

03/31/2016

City

FORD HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016