RICHARD JON MORTENSON - Pharmacist License in Illinois | # 049056862

RICHARD JON MORTENSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056862

License Status

NOT RENEWED

Business

N

First Name

RICHARD JON

Last Name

MORTENSON

Business Name

RICHARD JON MORTENSON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005