CLEO R LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049043286

License Status

NOT RENEWED

Business

First Name

CLEO R

Last Name

LARSON

Business Name

CLEO R LARSON

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005