ROBERT PAUL LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059765

License Status

NOT RENEWED

Business

First Name

ROBERT PAUL

Last Name

LARSON

Business Name

ROBERT PAUL LARSON

Original Issue Date

06/22/1973

Effective Date

06/22/1973

Expiration Date

01/01/1997

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005