SHALAN K CARLSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166420

License Status

NOT RENEWED

Business

First Name

SHALAN

Middle

Last Name

CARLSEN

Business Name

SHALAN K CARLSEN

Original Issue Date

02/02/2006

Effective Date

01/12/2012

Expiration Date

03/31/2013

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2013