DAKOTA JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263704

License Status

NOT RENEWED

Business

First Name

DAKOTA

Last Name

JACKSON

Business Name

DAKOTA JACKSON

Original Issue Date

03/13/2019

Effective Date

03/13/2019

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021