CORT W CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101813

License Status

NOT RENEWED

Business

First Name

CORT W

Last Name

CARLSON

Business Name

CORT W CARLSON

Original Issue Date

11/23/1992

Effective Date

11/23/1992

Expiration Date

03/31/1996

City

LAKE IN THE HILLS

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005