GENE A CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030433

License Status

NOT RENEWED

Business

First Name

GENE A

Last Name

CARLSON

Business Name

GENE A CARLSON

Original Issue Date

07/25/1975

Effective Date

03/05/2020

Expiration Date

07/31/2022

City

MARSEILLES

State

Zip

61341

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/14/2022