SCOTT DAVID JORGENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254393

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

DAVID

Last Name

JORGENSEN

Business Name

SCOTT DAVID JORGENSEN

Original Issue Date

11/28/2017

Effective Date

01/25/2018

Expiration Date

03/31/2019

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019