JEANANNE LARSON - Pharmacist License in Illinois | # 049058702

JEANANNE LARSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058702

License Status

NOT RENEWED

Business

N

First Name

JEANANNE

Last Name

LARSON

Business Name

JEANANNE LARSON

Original Issue Date

11/04/1972

Effective Date

11/04/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005