JENNIFER RAE GORANSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230741

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

RAE

Last Name

GORANSON

Business Name

JENNIFER RAE GORANSON

Original Issue Date

01/23/2015

Effective Date

01/23/2015

Expiration Date

03/31/2016

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/24/2016

Case Number

2016001090

Action

Refuse To Renew

Discipline Start Date

11/07/2016

Discipline Reason

after the Department received information that she was terminated by her employer for diversion of controlled substances.