PAUL ROBERT DAHLGREN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161958

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

ROBERT

Last Name

DAHLGREN

Business Name

PAUL ROBERT DAHLGREN

Original Issue Date

06/27/2005

Effective Date

06/27/2005

Expiration Date

03/31/2006

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006