JASON RICHARD CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178261

License Status

NOT RENEWED

Business

First Name

JASON

Middle

RICHARD

Last Name

CARLSON

Business Name

JASON RICHARD CARLSON

Original Issue Date

08/06/2007

Effective Date

08/06/2007

Expiration Date

03/31/2008

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

05/02/2008