KRISTY A CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104497

License Status

NOT RENEWED

Business

First Name

KRISTY A

Last Name

CARLSON

Business Name

KRISTY A CARLSON

Original Issue Date

09/13/1993

Effective Date

09/13/1993

Expiration Date

03/31/1995

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005