GENE ALLEN CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056476

License Status

NOT RENEWED

Business

First Name

GENE ALLEN

Last Name

CARLSON

Business Name

GENE ALLEN CARLSON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005