WILLIS C JORDAN - Pharmacist License in Illinois | # 049160972

WILLIS C JORDAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160972

License Status

NOT RENEWED

Business

N

First Name

WILLIS

Middle

C

Last Name

JORDAN

Business Name

WILLIS C JORDAN

Original Issue Date

05/12/2005

Effective Date

05/12/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006