DANIEL BROOKS CARLSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242734

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

BROOKS

Last Name

CARLSEN

Business Name

DANIEL BROOKS CARLSEN

Original Issue Date

06/27/2016

Effective Date

04/26/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018