PATRICE ANGELETTE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282157

License Status

NOT RENEWED

Business

First Name

PATRICE

Middle

ANGELETTE

Last Name

JACKSON

Business Name

PATRICE ANGELETTE JACKSON

Original Issue Date

05/10/2021

Effective Date

05/10/2021

Expiration Date

05/31/2022

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2022