THERESA G JORGENSEN-LONGCORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091910

License Status

NOT RENEWED

Business

First Name

THERESA G

Last Name

JORGENSEN-LONGCORE

Business Name

THERESA G JORGENSEN-LONGCORE

Original Issue Date

12/28/1989

Effective Date

12/28/1989

Expiration Date

03/31/1997

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005