JEREMY MICHAEL LENZEN - Pharmacist License in Illinois | # 049124523

JEREMY MICHAEL LENZEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124523

License Status

NOT RENEWED

Business

N

First Name

JEREMY

Middle

MICHAEL

Last Name

LENZEN

Business Name

JEREMY MICHAEL LENZEN

Original Issue Date

01/22/1999

Effective Date

01/22/1999

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005