JEREMY MICHAEL LENZEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124523

License Status

NOT RENEWED

Business

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

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/21/2005