LANCE A CARLSEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030918

License Status

INACTIVE

Business

First Name

LANCE A

Last Name

CARLSEN

Business Name

LANCE A CARLSEN

Original Issue Date

08/06/1976

Effective Date

08/06/1976

Expiration Date

03/31/1984

City

EL CAJON

State

Zip

92020

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005