CARL K ROBERTSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145440

License Status

NOT RENEWED

Business

First Name

CARL

Middle

Last Name

ROBERTSON

Business Name

CARL K ROBERTSON

Original Issue Date

10/22/2002

Effective Date

10/22/2002

Expiration Date

03/31/2005

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005