JORDAN S GREENBERG DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194049

License Status

NOT RENEWED

Business

Title

First Name

JORDAN

Middle

Last Name

GREENBERG

Prefix

Business Name

JORDAN S GREENBERG DO

Original Issue Date

09/04/2009

Effective Date

09/04/2009

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010