KELLIE N JENSEN - Pharmacist License in Illinois | # 049173712

KELLIE N JENSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173712

License Status

NOT RENEWED

Business

N

First Name

KELLIE

Middle

N

Last Name

JENSEN

Business Name

KELLIE N JENSEN

Original Issue Date

01/18/2007

Effective Date

03/21/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012