LORIEN J JORDAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127674

License Status

NOT RENEWED

Business

First Name

LORIEN

Middle

Last Name

JORDAN

Business Name

LORIEN J JORDAN

Original Issue Date

09/27/1999

Effective Date

09/27/1999

Expiration Date

03/31/2002

City

TWIN LAKES

State

Zip

53181

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/06/2005