AMANDA N JACKSON - Pharmacist License in Illinois | # 049200960

AMANDA N JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200960

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

N

Last Name

JACKSON

Business Name

AMANDA N JACKSON

Original Issue Date

10/12/2010

Effective Date

10/12/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011