ROBERT WAYNE CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139368

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

WAYNE

Last Name

CARLSON

Business Name

ROBERT WAYNE CARLSON

Original Issue Date

11/27/2001

Effective Date

03/13/2009

Expiration Date

03/31/2010

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

05/04/2010