CHRISTOPHER JORDAN MIEDEMA MD - Pharmacist License in Illinois | # 049176980

CHRISTOPHER JORDAN MIEDEMA MD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176980

License Status

NOT RENEWED

Business

N

Title

MD

First Name

CHRISTOPHER

Middle

JORDAN

Last Name

MIEDEMA

Business Name

CHRISTOPHER JORDAN MIEDEMA MD

Original Issue Date

06/13/2007

Effective Date

03/16/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011