JORDAN E SAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159455

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

Last Name

SAGE

Business Name

JORDAN E SAGE

Original Issue Date

03/02/2005

Effective Date

03/11/2009

Expiration Date

03/31/2010

City

FOX LAKE

State

Zip

60020

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010