KYESHA D SHAW JACKSON - Pharmacist License in Illinois | # 049183483

KYESHA D SHAW JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183483

License Status

NOT RENEWED

Business

N

First Name

KYESHA

Middle

D

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016