DOMENIQC JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049289435

License Status

NOT RENEWED

Business

First Name

DOMENIQC

Last Name

JACKSON

Business Name

DOMENIQC JACKSON

Original Issue Date

01/06/2022

Effective Date

01/06/2022

Expiration Date

03/31/2023

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/07/2023