MALLORY K LARSSON - Pharmacist License in Utah | # 049171635

MALLORY K LARSSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171635

License Status

NOT RENEWED

Business

N

First Name

MALLORY

Middle

K

Last Name

LARSSON

Business Name

MALLORY K LARSSON

Original Issue Date

09/26/2006

Effective Date

04/19/2011

Expiration Date

03/31/2012

State

UT

Ever Disciplined

N

LastModifiedDate

05/07/2012