JAY W JENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067013

License Status

NOT RENEWED

Business

First Name

JAY W

Last Name

JENSEN

Business Name

JAY W JENSEN

Original Issue Date

04/01/1977

Effective Date

04/01/1977

Expiration Date

01/01/1997

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005