CLINT E JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049291595

License Status

NOT RENEWED

Business

First Name

CLINT

Middle

Last Name

JACKSON

Business Name

CLINT E JACKSON

Original Issue Date

03/25/2022

Effective Date

03/25/2022

Expiration Date

03/31/2023

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/07/2023