JADA A WAGENSOMER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164853

License Status

NOT RENEWED

Business

First Name

JADA

Middle

Last Name

WAGENSOMER

Business Name

JADA A WAGENSOMER

Original Issue Date

11/08/2005

Effective Date

11/08/2005

Expiration Date

03/31/2006

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006