JORDAN M GIBSON - Pharmacist License in Illinois | # 049128666

JORDAN M GIBSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128666

License Status

NOT RENEWED

Business

N

First Name

JORDAN

Middle

M

Last Name

GIBSON

Business Name

JORDAN M GIBSON

Original Issue Date

12/17/1999

Effective Date

12/17/1999

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005