DUANE ROSS LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056288

License Status

NOT RENEWED

Business

First Name

DUANE ROSS

Last Name

LARSON

Business Name

DUANE ROSS LARSON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005