IMANI ALIZE MONET LA'TRICE JACKSON - Pharmacist License in Illinois | # 049267609

IMANI ALIZE MONET LA'TRICE JACKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267609

License Status

NOT RENEWED

Business

N

First Name

IMANI

Middle

ALIZE MONET LA'TRICE

Last Name

JACKSON

Business Name

IMANI ALIZE MONET LA'TRICE JACKSON

Original Issue Date

08/30/2019

Effective Date

08/30/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021