ELMER W JENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156073

License Status

NOT RENEWED

Business

First Name

ELMER

Middle

Last Name

JENSEN

Business Name

ELMER W JENSEN

Original Issue Date

07/13/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

HOMER GLEN

State

Zip

60491

County

WILL

Ever Disciplined

LastModifiedDate

05/14/2007