JACQUELINE K MORTENSEN - Pharmacist License in Minnesota | # 051031519

JACQUELINE K MORTENSEN

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031519

License Status

INACTIVE

Business

N

First Name

JACQUELINE K

Last Name

MORTENSEN

Business Name

JACQUELINE K MORTENSEN

Original Issue Date

08/18/1977

Effective Date

08/18/1977

Expiration Date

03/31/1984

State

MN

Ever Disciplined

N

LastModifiedDate

10/17/2005