JACKIE MARIE ROSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286283

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

MARIE

Last Name

ROSS

Business Name

JACKIE MARIE ROSS

Original Issue Date

10/13/2021

Effective Date

10/13/2021

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2022