JACQUELYN R JOHNSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057453

License Status

NOT RENEWED

Business

First Name

JACQUELYN R

Last Name

JOHNSEN

Business Name

JACQUELYN R JOHNSEN

Original Issue Date

03/03/1972

Effective Date

03/03/1972

Expiration Date

03/31/1984

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005