BRI-ANNA LA-SHAY JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254819

License Status

NOT RENEWED

Business

First Name

BRI-ANNA

Middle

LA-SHAY

Last Name

JACKSON

Business Name

BRI-ANNA LA-SHAY JACKSON

Original Issue Date

12/05/2017

Effective Date

04/02/2018

Expiration Date

03/31/2019

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2019