SHANITA A JACKSON - Pharmacist License in Illinois | # 049251009

SHANITA A JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251009

License Status

NOT RENEWED

Business

N

First Name

SHANITA

Middle

A

Last Name

JACKSON

Business Name

SHANITA A JACKSON

Original Issue Date

06/02/2017

Effective Date

04/21/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022