THREASE A JORDAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170769

License Status

NOT RENEWED

Business

First Name

THREASE

Middle

Last Name

JORDAN

Business Name

THREASE A JORDAN

Original Issue Date

08/23/2006

Effective Date

01/19/2010

Expiration Date

03/31/2011

City

BENLD

State

Zip

62009

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/12/2011