KENNETH W JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241845

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

JACKSON

Business Name

KENNETH W JACKSON

Original Issue Date

05/13/2016

Effective Date

05/13/2016

Expiration Date

03/31/2017

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017