JORDAN P BOATMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212414

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

Last Name

BOATMAN

Business Name

JORDAN P BOATMAN

Original Issue Date

07/25/2012

Effective Date

02/09/2017

Expiration Date

03/31/2018

City

CASEYVILLE

State

Zip

62232

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/19/2018

Case Number

2018001930

Action

Suspension

Discipline Start Date

05/05/2018

Discipline End Date

09/28/2018

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 10/01/2018.