JORDAN LANE KENNEDY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141024

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

LANE

Last Name

KENNEDY

Business Name

JORDAN LANE KENNEDY

Original Issue Date

02/25/2002

Effective Date

02/25/2002

Expiration Date

03/31/2003

City

CHAMPAIGN

State

Zip

61822

Ever Disciplined

LastModifiedDate

10/20/2005