EBONY M JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169777

License Status

NOT RENEWED

Business

First Name

EBONY

Middle

Last Name

JACKSON

Business Name

EBONY M JACKSON

Original Issue Date

07/05/2006

Effective Date

07/05/2006

Expiration Date

03/31/2007

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/14/2007