KELLY MARIE JENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146773

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

MARIE

Last Name

JENSEN

Business Name

KELLY MARIE JENSEN

Original Issue Date

01/23/2003

Effective Date

01/23/2003

Expiration Date

03/31/2006

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006