LORI ANNE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205113

License Status

NOT RENEWED

Business

First Name

LORI

Middle

ANNE

Last Name

JACKSON

Business Name

LORI ANNE JACKSON

Original Issue Date

07/05/2011

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

DEWITT

State

Zip

61735

County

DE WITT

Ever Disciplined

LastModifiedDate

07/20/2021