TRAVIS JOHN LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049291284

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

JOHN

Last Name

LARSON

Business Name

TRAVIS JOHN LARSON

Original Issue Date

03/10/2022

Effective Date

03/10/2022

Expiration Date

03/31/2023

City

IOWA CITY

State

Zip

52245

County

JOHNSON

Ever Disciplined

LastModifiedDate

09/07/2023