ISSAC LEEROY JACKSON - Pharmacist License in Illinois | # 049265137

ISSAC LEEROY JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265137

License Status

NOT RENEWED

Business

N

First Name

ISSAC

Middle

LEEROY

Last Name

JACKSON

Business Name

ISSAC LEEROY JACKSON

Original Issue Date

05/06/2019

Effective Date

06/24/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

Y

LastModifiedDate

06/13/2023

Case Number

2019012451

Action

Suspension

Discipline Start Date

03/09/2020

Discipline Reason

Failure to file and/or pay Illinois state income taxes.