MIRIAM JORDAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060400

License Status

NOT RENEWED

Business

First Name

MIRIAM

Last Name

JORDAN

Business Name

MIRIAM JORDAN

Original Issue Date

10/15/1973

Effective Date

10/15/1973

Expiration Date

01/01/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005