DALE J JENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167606

License Status

NOT RENEWED

Business

First Name

DALE

Middle

Last Name

JENSEN

Business Name

DALE J JENSEN

Original Issue Date

04/11/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009