SHELBY L JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217704

License Status

NOT RENEWED

Business

First Name

SHELBY

Middle

Last Name

JACKSON

Prefix

Business Name

SHELBY L JACKSON

Original Issue Date

05/02/2013

Effective Date

02/27/2017

Expiration Date

03/31/2018

City

NEWTON

State

Zip

62448

County

JASPER

Ever Disciplined

LastModifiedDate

06/19/2018