RICHARD JON MORTENSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056862

License Status

NOT RENEWED

Business

First Name

RICHARD JON

Last Name

MORTENSON

Business Name

RICHARD JON MORTENSON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005