TRACY L JORDAN - Pharmacist License in Illinois | # 049148469

TRACY L JORDAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148469

License Status

NOT RENEWED

Business

N

First Name

TRACY

Middle

L

Last Name

JORDAN

Business Name

TRACY L JORDAN

Original Issue Date

05/07/2003

Effective Date

05/07/2003

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005