ELLEN JOAN LARSON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062836

License Status

CANCELLED

Business

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

City

FRANKLIN PARK

State

Zip

60131

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005