JACKSON JAMES STEVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049293427

License Status

NOT RENEWED

Business

First Name

JACKSON

Middle

JAMES

Last Name

STEVENS

Business Name

JACKSON JAMES STEVENS

Original Issue Date

06/18/2022

Effective Date

06/18/2022

Expiration Date

03/31/2023

City

DORCHESTER

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

09/07/2023