LARISSA L DESOTO - Pharmacist License in Indiana | # 049240689

LARISSA L DESOTO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240689

License Status

NOT RENEWED

Business

N

First Name

LARISSA

Middle

L

Last Name

DESOTO

Business Name

LARISSA L DESOTO

Original Issue Date

04/02/2016

Effective Date

04/02/2016

Expiration Date

03/31/2017

State

IN

Ever Disciplined

N

LastModifiedDate

05/10/2017