SAMANTHA J JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255703

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

JACKSON

Business Name

SAMANTHA J JACKSON

Original Issue Date

01/23/2018

Effective Date

01/23/2018

Expiration Date

03/31/2019

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/15/2019