CONSTANCE S JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267454

License Status

NOT RENEWED

Business

First Name

CONSTANCE

Middle

Last Name

JACKSON

Business Name

CONSTANCE S JACKSON

Original Issue Date

08/22/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

07/20/2021