SUSAN LEAH JENSEN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060876

License Status

CANCELLED

Business

First Name

SUSAN LEAH

Last Name

JENSEN

Business Name

SUSAN LEAH JENSEN

Original Issue Date

01/28/1974

Effective Date

01/28/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005