LARRY STROM - Pharmacist License in Illinois | # 049061547

LARRY STROM

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061547

License Status

CANCELLED

Business

N

First Name

LARRY

Last Name

STROM

Business Name

LARRY STROM

Original Issue Date

05/24/1974

Effective Date

05/24/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005