ANGELICA LASALLE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254677

License Status

NOT RENEWED

Business

First Name

ANGELICA

Middle

LASALLE

Last Name

JACKSON

Business Name

ANGELICA LASALLE JACKSON

Original Issue Date

12/01/2017

Effective Date

01/12/2018

Expiration Date

03/31/2019

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019