JAMES ROBERT MENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164319

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

ROBERT

Last Name

MENSEN

Business Name

JAMES ROBERT MENSEN

Original Issue Date

10/03/2005

Effective Date

02/21/2012

Expiration Date

03/31/2013

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

05/06/2013