MICHELLE L JENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141698

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

JENSEN

Business Name

MICHELLE L JENSEN

Original Issue Date

04/08/2002

Effective Date

04/08/2002

Expiration Date

03/31/2004

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/20/2005