DIANNE JORDAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072277

License Status

NOT RENEWED

Business

First Name

DIANNE

Last Name

JORDAN

Business Name

DIANNE JORDAN

Original Issue Date

12/26/1979

Effective Date

12/26/1979

Expiration Date

01/01/1997

City

ST LOUIS

State

Zip

63147

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005