VIRGINIA MAE MOURITSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049051420

License Status

NOT RENEWED

Business

First Name

VIRGINIA MAE

Last Name

MOURITSEN

Business Name

VIRGINIA MAE MOURITSEN

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

SAUK VILLAGE

State

Zip

60413

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005