DAVIE L JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185517

License Status

NOT RENEWED

Business

First Name

DAVIE

Middle

Last Name

JACKSON

Business Name

DAVIE L JACKSON

Original Issue Date

07/14/2008

Effective Date

07/14/2008

Expiration Date

03/31/2009

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009