ELLEN JOAN LARSON - Pharmacist License in Illinois | # 049062836

ELLEN JOAN LARSON

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062836

License Status

CANCELLED

Business

N

First Name

ELLEN JOAN

Last Name

LARSON

Business Name

ELLEN JOAN LARSON

Original Issue Date

01/24/1975

Effective Date

01/24/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005