ISSAC LEEROY JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265137

License Status

NOT RENEWED

Business

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

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

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.