DONNA MARIE JORGENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180030

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

MARIE

Last Name

JORGENSEN

Business Name

DONNA MARIE JORGENSEN

Original Issue Date

10/18/2007

Effective Date

10/18/2007

Expiration Date

03/31/2008

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/02/2008