KATHY RUTHANN JORDAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224706

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

RUTHANN

Last Name

JORDAN

Business Name

KATHY RUTHANN JORDAN

Original Issue Date

04/21/2014

Effective Date

04/06/2015

Expiration Date

03/31/2016

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

05/20/2016