BEVERLY JACKSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206304

License Status

INACTIVE

Business

First Name

BEVERLY

Last Name

JACKSON

Business Name

BEVERLY JACKSON

Original Issue Date

08/30/2011

Effective Date

08/30/2011

Expiration Date

03/31/2012

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

01/12/2012