STEWARD LEO JORGENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072961

License Status

NOT RENEWED

Business

First Name

STEWARD LEO

Last Name

JORGENSEN

Business Name

STEWARD LEO JORGENSEN

Original Issue Date

05/16/1980

Effective Date

05/16/1980

Expiration Date

01/01/1997

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005