ELLEN L LARSON - Pharmacist License in Illinois | # 049059835

ELLEN L LARSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059835

License Status

NOT RENEWED

Business

N

First Name

ELLEN L

Last Name

LARSON

Business Name

ELLEN L LARSON

Original Issue Date

06/29/1973

Effective Date

06/29/1973

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005