JACK H MOEN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051306937

License Status

ACTIVE

Business

First Name

JACK

Middle

Last Name

MOEN

Business Name

JACK H MOEN

Original Issue Date

02/20/2025

Effective Date

03/23/2026

Expiration Date

03/31/2028

City

WAUKEGAN

State

Zip

60085

Ever Disciplined

LastModifiedDate

03/23/2026