JORDAN ALEXIS SCHALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228584

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

ALEXIS

Last Name

SCHALLER

Business Name

JORDAN ALEXIS SCHALLER

Original Issue Date

10/16/2014

Effective Date

03/16/2015

Expiration Date

03/31/2016

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016