JACKSON JOSEPH KODIAK Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049316955

License Status

ACTIVE

Business

First Name

JACKSON

Middle

JOSEPH

Last Name

KODIAK

Business Name

JACKSON JOSEPH KODIAK

Original Issue Date

11/21/2024

Effective Date

03/02/2026

Expiration Date

03/31/2027

City

JOLIET

State

Zip

60431

Ever Disciplined

LastModifiedDate

03/02/2026