MARY JANE GUNDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071278

License Status

NOT RENEWED

Business

First Name

MARY JANE

Last Name

GUNDERSON

Business Name

MARY JANE GUNDERSON

Original Issue Date

06/08/1979

Effective Date

06/08/1979

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005