MYKENZIE DAWN JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049313369

License Status

NOT RENEWED

Business

First Name

MYKENZIE

Middle

DAWN

Last Name

JACKSON

Business Name

MYKENZIE DAWN JACKSON

Original Issue Date

06/27/2024

Effective Date

06/27/2024

Expiration Date

03/31/2025

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/08/2025