TRAVIS JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193945

License Status

NOT RENEWED

Business

First Name

TRAVIS

Last Name

JACKSON

Business Name

TRAVIS JACKSON

Original Issue Date

08/31/2009

Effective Date

08/31/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010