JORDAN M LEA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250306

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

Last Name

LEA

Business Name

JORDAN M LEA

Original Issue Date

05/02/2017

Effective Date

04/03/2019

Expiration Date

09/30/2020

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

01/08/2021