AMY M CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169104

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

CARLSON

Business Name

AMY M CARLSON

Original Issue Date

06/06/2006

Effective Date

03/02/2011

Expiration Date

03/31/2012

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012