RAQUEL S JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289001

License Status

NOT RENEWED

Business

First Name

RAQUEL

Middle

Last Name

JACKSON

Business Name

RAQUEL S JACKSON

Original Issue Date

08/16/2002

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

RICHTON PARK

State

Zip

60471

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010