GLEN A POULSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092516

License Status

NOT RENEWED

Business

First Name

GLEN A

Last Name

POULSON

Business Name

GLEN A POULSON

Original Issue Date

03/09/1990

Effective Date

03/09/1990

Expiration Date

03/31/2003

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005