LISA M JORGENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215520

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

JORGENSEN

Business Name

LISA M JORGENSEN

Original Issue Date

01/16/2013

Effective Date

01/16/2013

Expiration Date

03/31/2014

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014