DALE J JENSEN - Pharmacist License in Illinois | # 049167606

DALE J JENSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167606

License Status

NOT RENEWED

Business

N

First Name

DALE

Middle

J

Last Name

JENSEN

Business Name

DALE J JENSEN

Original Issue Date

04/11/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009