C LARRIANNE JORDAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070434

License Status

NOT RENEWED

Business

First Name

Middle

LARRIANNE

Last Name

JORDAN

Business Name

C LARRIANNE JORDAN

Original Issue Date

12/01/1978

Effective Date

12/01/1978

Expiration Date

03/31/1999

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005