ARIEL KEYARA JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250162

License Status

NOT RENEWED

Business

First Name

ARIEL

Middle

KEYARA

Last Name

JACKSON

Business Name

ARIEL KEYARA JACKSON

Original Issue Date

04/25/2017

Effective Date

03/19/2018

Expiration Date

03/31/2019

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019