JAZZEMIN ANALICIA GORDON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049283492

License Status

NOT RENEWED

Business

First Name

JAZZEMIN

Middle

ANALICIA

Last Name

GORDON

Business Name

JAZZEMIN ANALICIA GORDON

Original Issue Date

06/21/2021

Effective Date

06/21/2021

Expiration Date

05/31/2022

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022