AUTUM L JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254989

License Status

NOT RENEWED

Business

First Name

AUTUM

Middle

Last Name

JACKSON

Business Name

AUTUM L JACKSON

Original Issue Date

12/12/2017

Effective Date

03/20/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019