ANTWANETTE JACKSON - Pharmacist License in Illinois | # 049260743

ANTWANETTE JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260743

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019