AMANDA N JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200960

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

JACKSON

Business Name

AMANDA N JACKSON

Original Issue Date

10/12/2010

Effective Date

10/12/2010

Expiration Date

03/31/2011

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

05/12/2011