FORREST E OLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058469

License Status

NOT RENEWED

Business

First Name

FORREST E

Last Name

OLSON

Business Name

FORREST E OLSON

Original Issue Date

09/30/1972

Effective Date

09/30/1972

Expiration Date

03/31/1984

City

ROUND LAKE PARK

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005