ROMELDA DIANE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049233149

License Status

NOT RENEWED

Business

First Name

ROMELDA

Middle

DIANE

Last Name

JACKSON

Business Name

ROMELDA DIANE JACKSON

Original Issue Date

05/18/2015

Effective Date

03/07/2016

Expiration Date

03/31/2017

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017