KASSONDRA LYNETTE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149183

License Status

NOT RENEWED

Business

First Name

KASSONDRA

Middle

LYNETTE

Last Name

JACKSON

Business Name

KASSONDRA LYNETTE JACKSON

Original Issue Date

06/24/2003

Effective Date

02/16/2010

Expiration Date

03/31/2011

City

HAMMOND

State

Zip

46320

County

INDIANA

Ever Disciplined

LastModifiedDate

05/12/2011