JACK H MOEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277366

License Status

NOT RENEWED

Business

First Name

JACK

Middle

Last Name

MOEN

Business Name

JACK H MOEN

Original Issue Date

11/16/2020

Effective Date

03/05/2024

Expiration Date

03/31/2025

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2025