DERRICK E JORDAN - Pharmacist License in Illinois | # 049073344

DERRICK E JORDAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073344

License Status

NOT RENEWED

Business

N

First Name

DERRICK E

Last Name

JORDAN

Business Name

DERRICK E JORDAN

Original Issue Date

07/29/1980

Effective Date

07/29/1980

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005