CANDIS J CARLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155444

License Status

NOT RENEWED

Business

First Name

CANDIS

Middle

Last Name

CARLEN

Business Name

CANDIS J CARLEN

Original Issue Date

06/21/2004

Effective Date

03/23/2009

Expiration Date

03/31/2010

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010