MIRANDA G JACKSON - Pharmacist License in Illinois | # 049191492

MIRANDA G JACKSON

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191492

License Status

INACTIVE

Business

N

First Name

MIRANDA

Middle

G

Last Name

JACKSON

Business Name

MIRANDA G JACKSON

Original Issue Date

05/05/2009

Effective Date

05/05/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

01/12/2010