JORDAN NICOLE WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153604

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

NICOLE

Last Name

WILSON

Business Name

JORDAN NICOLE WILSON

Original Issue Date

03/12/2004

Effective Date

03/12/2004

Expiration Date

03/31/2005

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005