COREY J JORDAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205529

License Status

NOT RENEWED

Business

First Name

COREY

Middle

Last Name

JORDAN

Prefix

Business Name

COREY J JORDAN

Original Issue Date

07/21/2011

Effective Date

07/21/2011

Expiration Date

03/31/2012

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/07/2012