CARISA A JURGENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145167

License Status

NOT RENEWED

Business

First Name

CARISA

Middle

Last Name

JURGENS

Business Name

CARISA A JURGENS

Original Issue Date

10/09/2002

Effective Date

10/09/2002

Expiration Date

03/31/2005

City

SHOREWOOD

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005