TRACEY A JACKSON - Pharmacist License in Illinois | # 049196512

TRACEY A JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196512

License Status

NOT RENEWED

Business

N

First Name

TRACEY

Middle

A

Last Name

JACKSON

Business Name

TRACEY A JACKSON

Original Issue Date

01/28/2010

Effective Date

03/17/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012