AMIRA H JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203722

License Status

NOT RENEWED

Business

First Name

AMIRA

Middle

Last Name

JACKSON

Business Name

AMIRA H JACKSON

Original Issue Date

04/18/2011

Effective Date

03/08/2012

Expiration Date

03/31/2013

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2013