JORDAN ANDERSON SPILLANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176247

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

ANDERSON

Last Name

SPILLANE

Business Name

JORDAN ANDERSON SPILLANE

Original Issue Date

05/10/2007

Effective Date

03/05/2012

Expiration Date

03/31/2013

City

MENOMONEE FALLS

State

Zip

53051

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/06/2013