LISA M JORGENSEN - Pharmacist License in Illinois | # 049215520

LISA M JORGENSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215520

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

M

Last Name

JORGENSEN

Business Name

LISA M JORGENSEN

Original Issue Date

01/16/2013

Effective Date

01/16/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014