EVAN A CLAUSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153418

License Status

NOT RENEWED

Business

First Name

EVAN

Middle

Last Name

CLAUSEN

Business Name

EVAN A CLAUSEN

Original Issue Date

03/02/2004

Effective Date

03/02/2004

Expiration Date

03/31/2005

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005