AI-JA LAURIELLE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205132

License Status

NOT RENEWED

Business

First Name

AI-JA

Middle

LAURIELLE

Last Name

JACKSON

Business Name

AI-JA LAURIELLE JACKSON

Original Issue Date

07/05/2011

Effective Date

03/05/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014