EDWARD TERRENCE JANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026900

License Status

NOT RENEWED

Business

First Name

EDWARD TERRENCE

Last Name

JANSEN

Business Name

EDWARD TERRENCE JANSEN

Original Issue Date

01/01/1997

Effective Date

01/27/2014

Expiration Date

03/31/2016

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/20/2016