MADISON MORTENSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272682

License Status

NOT RENEWED

Business

First Name

MADISON

Last Name

MORTENSON

Business Name

MADISON MORTENSON

Original Issue Date

04/14/2020

Effective Date

04/14/2020

Expiration Date

03/31/2021

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/20/2021