STEPHANIE ANN JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200672

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

ANN

Last Name

JACKSON

Business Name

STEPHANIE ANN JACKSON

Original Issue Date

09/21/2010

Effective Date

03/28/2011

Expiration Date

03/31/2012

City

CONCORD

State

Zip

62631

County

MORGAN

Ever Disciplined

LastModifiedDate

05/07/2012