Nathaniel Mitchell Jackstadt
ExpiredIllinois license 049262978
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049262978
- Status
- Expired (Not Renewed)
- First issued
- January 31, 2019
- Expired
- May 31, 2022
- License holder
- Nathaniel Mitchell Jackstadt
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/28/2021
Contact
Collinsville, IL 62234
Madison County