CARL JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156893

License Status

NOT RENEWED

Business

First Name

CARL

Last Name

JACKSON

Business Name

CARL JACKSON

Original Issue Date

08/25/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

GARY

State

Zip

46404

County

INDIANA

Ever Disciplined

LastModifiedDate

05/02/2008