MARK A CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149748

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

CARLSON

Business Name

MARK A CARLSON

Original Issue Date

08/08/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60605

Ever Disciplined

LastModifiedDate

05/02/2008