KRISTEN A DAHLBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208148

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

DAHLBERG

Prefix

Business Name

KRISTEN A DAHLBERG

Original Issue Date

12/06/2011

Effective Date

12/06/2011

Expiration Date

03/31/2012

City

HIGHLAND PARK

State

Zip

60035

Ever Disciplined

LastModifiedDate

05/07/2012