DEANNA MARIE LARSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059598

License Status

NOT RENEWED

Business

First Name

DEANNA MARIE

Last Name

LARSEN

Business Name

DEANNA MARIE LARSEN

Original Issue Date

06/01/1973

Effective Date

06/01/1973

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005