CARL C IVERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215808

License Status

NOT RENEWED

Business

First Name

CARL

Middle

Last Name

IVERSEN

Prefix

Business Name

CARL C IVERSEN

Original Issue Date

01/31/2013

Effective Date

05/05/2022

Expiration Date

03/31/2023

City

NIANTIC

State

Zip

62551

County

MACON

Ever Disciplined

LastModifiedDate

09/07/2023