JORDAN ALTA ELIZABETH WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049285267

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

ALTA ELIZABETH

Last Name

WILSON

Business Name

JORDAN ALTA ELIZABETH WILSON

Original Issue Date

09/03/2021

Effective Date

09/03/2021

Expiration Date

05/31/2022

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

07/27/2022