SHANELLYA JACKSON - Pharmacist License in Illinois | # 049196633

SHANELLYA JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196633

License Status

NOT RENEWED

Business

N

First Name

SHANELLYA

Last Name

JACKSON

Business Name

SHANELLYA JACKSON

Original Issue Date

02/04/2010

Effective Date

02/04/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011