INGMAR T G CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

ASSISTANT PHARMACIST

License Number

050009661

License Status

NOT RENEWED

Business

First Name

INGMAR T G

Last Name

CARLSON

Business Name

INGMAR T G CARLSON

Original Issue Date

01/01/1998

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005