JACQUELINE K MORTENSEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031519

License Status

INACTIVE

Business

First Name

JACQUELINE K

Last Name

MORTENSEN

Business Name

JACQUELINE K MORTENSEN

Original Issue Date

08/18/1977

Effective Date

08/18/1977

Expiration Date

03/31/1984

City

KENYON

State

Zip

55946

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/17/2005