MARY LYNNE JACKSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032769

License Status

INACTIVE

Business

First Name

MARY LYNNE

Last Name

JACKSON

Business Name

MARY LYNNE JACKSON

Original Issue Date

08/07/1979

Effective Date

08/07/1979

Expiration Date

03/31/2002

City

VILLA RIDGE

State

Zip

63089

County

FRANKLIN

Ever Disciplined

LastModifiedDate

12/06/2005