MORIAH MONIQUE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214735

License Status

NOT RENEWED

Business

First Name

MORIAH

Middle

MONIQUE

Last Name

JACKSON

Business Name

MORIAH MONIQUE JACKSON

Original Issue Date

11/27/2012

Effective Date

11/27/2012

Expiration Date

03/31/2013

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2013