DAWN MARIE CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201602

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

MARIE

Last Name

CARLSON

Business Name

DAWN MARIE CARLSON

Original Issue Date

11/18/2010

Effective Date

01/17/2012

Expiration Date

03/31/2013

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/06/2013