JACKSON LEE EDWARDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265306

License Status

NOT RENEWED

Business

First Name

JACKSON

Middle

LEE

Last Name

EDWARDS

Business Name

JACKSON LEE EDWARDS

Original Issue Date

05/13/2019

Effective Date

05/13/2019

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/08/2021