MICHAEL EDWARD JENTZEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251518

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

EDWARD

Last Name

JENTZEN

Business Name

MICHAEL EDWARD JENTZEN

Original Issue Date

06/27/2017

Effective Date

06/27/2017

Expiration Date

03/31/2018

City

MARSEILLES

State

Zip

61341

County

LA SALLE

Ever Disciplined

LastModifiedDate

06/19/2018