JORDAN CARLEY SELF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237509

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

CARLEY

Last Name

SELF

Business Name

JORDAN CARLEY SELF

Original Issue Date

11/06/2015

Effective Date

11/06/2015

Expiration Date

03/31/2016

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/20/2016