NICOLE D JORDAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240526

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

JORDAN

Business Name

NICOLE D JORDAN

Original Issue Date

03/28/2016

Effective Date

03/28/2016

Expiration Date

03/31/2017

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/10/2017