TEISHA N DEJONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258370

License Status

NOT RENEWED

Business

First Name

TEISHA

Middle

Last Name

DEJONG

Business Name

TEISHA N DEJONG

Original Issue Date

06/06/2018

Effective Date

06/06/2018

Expiration Date

03/31/2019

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019