JORDAN GARY FANGER - Pharmacist License in Illinois | # 049254638

JORDAN GARY FANGER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254638

License Status

NOT RENEWED

Business

N

First Name

JORDAN

Middle

GARY

Last Name

FANGER

Business Name

JORDAN GARY FANGER

Original Issue Date

12/01/2017

Effective Date

12/01/2017

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018