PRESTON R OLSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140139

License Status

NOT RENEWED

Business

First Name

PRESTON

Middle

Last Name

OLSEN

Business Name

PRESTON R OLSEN

Original Issue Date

01/17/2002

Effective Date

01/17/2002

Expiration Date

03/31/2003

City

WILDWOOD

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005