CARL E JENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061196

License Status

NOT RENEWED

Business

First Name

CARL E

Last Name

JENSEN

Business Name

CARL E JENSEN

Original Issue Date

03/29/1974

Effective Date

03/29/1974

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005