LATALYA JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049287203

License Status

NOT RENEWED

Business

First Name

LATALYA

Last Name

JACKSON

Business Name

LATALYA JACKSON

Original Issue Date

10/29/2021

Effective Date

10/29/2021

Expiration Date

05/31/2022

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/27/2022