DALLAS TANNER JACKSON Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049321990

License Status

ACTIVE

Business

First Name

DALLAS

Middle

TANNER

Last Name

JACKSON

Business Name

DALLAS TANNER JACKSON

Original Issue Date

07/30/2025

Effective Date

03/17/2026

Expiration Date

03/31/2027

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

03/17/2026