MIRANDA G JACKSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191492

License Status

INACTIVE

Business

First Name

MIRANDA

Middle

Last Name

JACKSON

Business Name

MIRANDA G JACKSON

Original Issue Date

05/05/2009

Effective Date

05/05/2009

Expiration Date

03/31/2010

City

JUNCTION

State

Zip

62954

County

GALLATIN

Ever Disciplined

LastModifiedDate

01/12/2010