AUTUM L JACKSON - Pharmacist License in Illinois | # 049254989

AUTUM L JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254989

License Status

NOT RENEWED

Business

N

First Name

AUTUM

Middle

L

Last Name

JACKSON

Business Name

AUTUM L JACKSON

Original Issue Date

12/12/2017

Effective Date

03/20/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019