MICHAEL AARON POULSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130086

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

AARON

Last Name

POULSEN

Business Name

MICHAEL AARON POULSEN

Original Issue Date

03/20/2000

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007