DANIELLE NICOLE JORDAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145532

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

NICOLE

Last Name

JORDAN

Business Name

DANIELLE NICOLE JORDAN

Original Issue Date

10/25/2002

Effective Date

10/25/2002

Expiration Date

03/31/2004

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005