DERRICK E JORDAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073344

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005