JENNIFER L HERZOG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119105

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

HERZOG

Business Name

JENNIFER L HERZOG

Original Issue Date

10/20/1997

Effective Date

10/20/1997

Expiration Date

03/31/2002

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005