JILL LOUISE JORGENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064287

License Status

NOT RENEWED

Business

First Name

JILL LOUISE

Last Name

JORGENSEN

Business Name

JILL LOUISE JORGENSEN

Original Issue Date

10/03/1975

Effective Date

10/03/1975

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005