KELISHA D JACKSON - Pharmacist License in Illinois | # 049199471

KELISHA D JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199471

License Status

NOT RENEWED

Business

N

First Name

KELISHA

Middle

D

Last Name

JACKSON

Business Name

KELISHA D JACKSON

Original Issue Date

07/15/2010

Effective Date

11/05/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013