Dathan Ondreal Jackson
ExpiredIllinois license 049136700
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049136700
- Status
- Expired (Not Renewed)
- First issued
- June 13, 2001
- Expired
- March 31, 2007
- License holder
- Dathan Ondreal Jackson
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/19/2006
Contact
Maryville, IL 62062
Madison County