JORDAN ADELE WOHLTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200791

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

ADELE

Last Name

WOHLTMAN

Business Name

JORDAN ADELE WOHLTMAN

Original Issue Date

09/29/2010

Effective Date

02/06/2012

Expiration Date

03/31/2013

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

05/06/2013