BRENT A MORDAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234709

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

MORDAN

Business Name

BRENT A MORDAN

Original Issue Date

07/23/2015

Effective Date

01/28/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017