EDWARD M JORGENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151566

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

Last Name

JORGENSEN

Business Name

EDWARD M JORGENSEN

Original Issue Date

10/15/2003

Effective Date

10/15/2003

Expiration Date

03/31/2005

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005