WAYNE E LARSON - Pharmacist License in Illinois | # 049057834

WAYNE E LARSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057834

License Status

NOT RENEWED

Business

N

First Name

WAYNE E

Last Name

LARSON

Business Name

WAYNE E LARSON

Original Issue Date

06/07/1972

Effective Date

06/07/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005