JORDAN MICHAEL TANNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247860

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

MICHAEL

Last Name

TANNER

Business Name

JORDAN MICHAEL TANNER

Original Issue Date

01/18/2017

Effective Date

01/18/2017

Expiration Date

03/31/2018

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

06/19/2018