GUNDULA ELISABET JORGENSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036520

License Status

INACTIVE

Business

First Name

GUNDULA ELISABET

Last Name

JORGENSON

Business Name

GUNDULA ELISABET JORGENSON

Original Issue Date

02/06/1987

Effective Date

02/06/1987

Expiration Date

03/31/1990

City

ALBUQUERQUE

State

Zip

87109

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/17/2005