CORT W CARLSON - Pharmacist License in Illinois | # 049101813

CORT W CARLSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101813

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005