SUE A JORGENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228640

License Status

NOT RENEWED

Business

First Name

SUE

Middle

Last Name

JORGENSEN

Prefix

Business Name

SUE A JORGENSEN

Original Issue Date

10/19/2014

Effective Date

03/05/2015

Expiration Date

03/31/2016

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016