KELLIE N JENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173712

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

Last Name

JENSEN

Business Name

KELLIE N JENSEN

Original Issue Date

01/18/2007

Effective Date

03/21/2011

Expiration Date

03/31/2012

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/07/2012