JOHN MORTEN MORTENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067663

License Status

NOT RENEWED

Business

First Name

JOHN MORTEN

Last Name

MORTENSEN

Business Name

JOHN MORTEN MORTENSEN

Original Issue Date

07/01/1977

Effective Date

07/01/1977

Expiration Date

01/01/1997

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

10/17/2005