MATTHEW WILLIAM CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164629

License Status

NOT RENEWED

Business

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

City

TROY

State

Zip

62294

Ever Disciplined

LastModifiedDate

05/12/2011