DANA M JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204790

License Status

NOT RENEWED

Business

First Name

DANA

Middle

Last Name

JACKSON

Prefix

Business Name

DANA M JACKSON

Original Issue Date

06/14/2011

Effective Date

06/14/2011

Expiration Date

03/31/2012

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012