KELLY ANN JORDAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155285

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANN

Last Name

JORDAN

Business Name

KELLY ANN JORDAN

Original Issue Date

06/16/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MOUNT ZION

State

Zip

62549

County

MACON

Ever Disciplined

LastModifiedDate

05/02/2008