CLARISSA JENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170557

License Status

NOT RENEWED

Business

First Name

CLARISSA

Last Name

JENSEN

Business Name

CLARISSA JENSEN

Original Issue Date

08/09/2006

Effective Date

08/09/2006

Expiration Date

03/31/2007

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007