ANDREW JON PAULSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288953

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

JON

Last Name

PAULSEN

Business Name

ANDREW JON PAULSEN

Original Issue Date

12/20/2021

Effective Date

05/28/2022

Expiration Date

03/31/2023

City

SPRINGFIELD

State

Zip

62702

County

ADAMS

Ever Disciplined

LastModifiedDate

09/07/2023