JORDAN GARY FANGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254638

License Status

NOT RENEWED

Business

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

City

EDWARDSVILLE

State

Zip

62025

County

ADAMS

Ever Disciplined

LastModifiedDate

06/19/2018