BLAIR K CARLSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182140

License Status

INACTIVE

Business

First Name

BLAIR

Middle

Last Name

CARLSON

Prefix

Business Name

BLAIR K CARLSON

Original Issue Date

02/13/2008

Effective Date

02/13/2008

Expiration Date

03/31/2009

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

01/06/2009