MATTHEW WILLIAM CARLSON - Pharmacist License in Illinois | # 049164629

MATTHEW WILLIAM CARLSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164629

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Middle

WILLIAM

Last Name

CARLSON

Business Name

MATTHEW WILLIAM CARLSON

Original Issue Date

10/27/2005

Effective Date

01/19/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011