RICHARD E LARSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049012252

License Status

NOT RENEWED

Business

First Name

RICHARD E

Last Name

LARSEN

Business Name

RICHARD E LARSEN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

GILMAN

State

Zip

60938

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/17/2005