JORDAN S BROKAW Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049326139

License Status

ACTIVE

Business

First Name

JORDAN

Middle

Last Name

BROKAW

Business Name

JORDAN S BROKAW

Original Issue Date

12/04/2025

Effective Date

03/20/2026

Expiration Date

03/31/2027

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

03/20/2026