CARLA J JANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103579

License Status

NOT RENEWED

Business

First Name

CARLA J

Last Name

JANSEN

Business Name

CARLA J JANSEN

Original Issue Date

06/01/1993

Effective Date

06/01/1993

Expiration Date

03/31/2004

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

10/20/2005