JOSEPHINE FACIA JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145393

License Status

NOT RENEWED

Business

First Name

JOSEPHINE

Middle

FACIA

Last Name

JACKSON

Business Name

JOSEPHINE FACIA JACKSON

Original Issue Date

10/18/2002

Effective Date

10/18/2002

Expiration Date

03/31/2006

City

HOBART

State

Zip

46342

Ever Disciplined

LastModifiedDate

05/11/2006