Pharmacist
PHARMACY TECHNICIAN
049087337
NOT RENEWED
N
MARIA A
JORDAN
MARIA A JORDAN
07/23/1988
03/31/1991
CALUMET CITY
IL
60409
COOK
Y
10/17/2005
1991001234
Termination
08/22/1991
Submitted a non-bankable remittance to the Department.