LORIEN J JORDAN - Pharmacist License in Wisconsin | # 049127674

LORIEN J JORDAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127674

License Status

NOT RENEWED

Business

N

First Name

LORIEN

Middle

J

Last Name

JORDAN

Business Name

LORIEN J JORDAN

Original Issue Date

09/27/1999

Effective Date

09/27/1999

Expiration Date

03/31/2002

State

WI

Ever Disciplined

N

LastModifiedDate

12/06/2005