BRENT M CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165488

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

CARLSON

Business Name

BRENT M CARLSON

Original Issue Date

12/08/2005

Effective Date

09/22/2008

Expiration Date

03/31/2009

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

05/06/2009