PATRICIA ANN JANZEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130015

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

ANN

Last Name

JANZEN

Business Name

PATRICIA ANN JANZEN

Original Issue Date

03/16/2000

Effective Date

03/16/2000

Expiration Date

03/31/2005

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005