SUSAN JEAN CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150323

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

JEAN

Last Name

CARLSON

Business Name

SUSAN JEAN CARLSON

Original Issue Date

08/25/2003

Effective Date

08/25/2003

Expiration Date

03/31/2005

City

BLUE GRASS

State

Zip

52726

County

IOWA

Ever Disciplined

LastModifiedDate

10/20/2005