DAVID ALAN JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188455

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ALAN

Last Name

JACKSON

Business Name

DAVID ALAN JACKSON

Original Issue Date

12/01/2008

Effective Date

02/09/2010

Expiration Date

03/31/2011

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/12/2011