JACQUELYN MARY CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207137

License Status

NOT RENEWED

Business

First Name

JACQUELYN

Middle

MARY

Last Name

CARLSON

Business Name

JACQUELYN MARY CARLSON

Original Issue Date

10/05/2011

Effective Date

01/22/2013

Expiration Date

03/31/2014

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/06/2014