DONIELLE N JORDAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164697

License Status

NOT RENEWED

Business

First Name

DONIELLE

Middle

Last Name

JORDAN

Business Name

DONIELLE N JORDAN

Original Issue Date

10/31/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/14/2007