ANTWANETTE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260743

License Status

NOT RENEWED

Business

First Name

ANTWANETTE

Last Name

JACKSON

Business Name

ANTWANETTE JACKSON

Original Issue Date

10/17/2018

Effective Date

10/17/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61101

County

ADAMS

Ever Disciplined

LastModifiedDate

07/15/2019