JORDAN DANE YEARWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150012

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

DANE

Last Name

YEARWOOD

Business Name

JORDAN DANE YEARWOOD

Original Issue Date

08/20/2003

Effective Date

08/20/2003

Expiration Date

03/31/2004

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/20/2005