KEVIN M MORTENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179794

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

MORTENSEN

Business Name

KEVIN M MORTENSEN

Original Issue Date

10/09/2007

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016