JORDAN M WYRWA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155911

License Status

NOT RENEWED

Business

First Name

JORDAN M

Last Name

WYRWA

Business Name

JORDAN M WYRWA

Original Issue Date

07/01/2004

Effective Date

02/17/2009

Expiration Date

03/31/2010

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010