TEQUANTE K CARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210692

License Status

NOT RENEWED

Business

First Name

TEQUANTE

Middle

Last Name

CARSON

Business Name

TEQUANTE K CARSON

Original Issue Date

04/30/2012

Effective Date

04/30/2012

Expiration Date

03/31/2013

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/06/2013