ELLEN L LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059835

License Status

NOT RENEWED

Business

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

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005