TAD J JENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098719

License Status

NOT RENEWED

Business

First Name

TAD J

Last Name

JENSEN

Business Name

TAD J JENSEN

Original Issue Date

11/27/1991

Effective Date

11/27/1991

Expiration Date

03/31/2005

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005