FREDERIC RALPH LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053450

License Status

NOT RENEWED

Business

First Name

FREDERIC RALPH

Last Name

LARSON

Business Name

FREDERIC RALPH LARSON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005