SUSAN L CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091537

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

CARLSON

Business Name

SUSAN L CARLSON

Original Issue Date

10/31/1989

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

05/14/2007