RUTH MICHELLE JORGENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181246

License Status

NOT RENEWED

Business

First Name

RUTH

Middle

MICHELLE

Last Name

JORGENSEN

Business Name

RUTH MICHELLE JORGENSEN

Original Issue Date

12/20/2007

Effective Date

01/26/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010