KATHLEEN DAVIS OLSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059717

License Status

NOT RENEWED

Business

First Name

KATHLEEN DAVIS

Last Name

OLSEN

Business Name

KATHLEEN DAVIS OLSEN

Original Issue Date

06/15/1973

Effective Date

06/15/1973

Expiration Date

01/01/1997

City

POLO

State

Zip

61064

County

OGLE

Ever Disciplined

LastModifiedDate

10/17/2005