RAVIN C JORDAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206187

License Status

NOT RENEWED

Business

First Name

RAVIN

Middle

Last Name

JORDAN

Business Name

RAVIN C JORDAN

Original Issue Date

08/24/2011

Effective Date

04/04/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013