COLTON LAWRENCE LARSON - Pharmacist License in Wisconsin | # 049236714

COLTON LAWRENCE LARSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236714

License Status

NOT RENEWED

Business

N

First Name

COLTON

Middle

LAWRENCE

Last Name

LARSON

Business Name

COLTON LAWRENCE LARSON

Original Issue Date

10/02/2015

Effective Date

03/20/2019

Expiration Date

09/30/2020

State

WI

Ever Disciplined

N

LastModifiedDate

01/08/2021