JUCY TIESENGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128148

License Status

NOT RENEWED

Business

First Name

JUCY

Last Name

TIESENGA

Business Name

JUCY TIESENGA

Original Issue Date

11/09/1999

Effective Date

11/09/1999

Expiration Date

03/31/2003

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005