FREDERICK A JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219886

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

Last Name

JACKSON

Prefix

Business Name

FREDERICK A JACKSON

Original Issue Date

08/08/2013

Effective Date

03/13/2014

Expiration Date

03/31/2015

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015