TRACEY A JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196512

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

Last Name

JACKSON

Business Name

TRACEY A JACKSON

Original Issue Date

01/28/2010

Effective Date

03/17/2011

Expiration Date

03/31/2012

City

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012