STEPHAINE T JACKSON - Pharmacist License in Illinois | # 049186167

STEPHAINE T JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186167

License Status

NOT RENEWED

Business

N

First Name

STEPHAINE

Middle

T

Last Name

JACKSON

Prefix

MR

Business Name

STEPHAINE T JACKSON

Original Issue Date

08/14/2008

Effective Date

03/25/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010