RICHARD DALE CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028724

License Status

NOT RENEWED

Business

First Name

RICHARD DALE

Last Name

CARLSON

Business Name

RICHARD DALE CARLSON

Original Issue Date

08/06/1971

Effective Date

02/03/2010

Expiration Date

03/31/2012

City

DIVIDE

State

Zip

80814

County

COLORADO

Ever Disciplined

LastModifiedDate

05/07/2012