LARRY DEAN SWANNER Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062979

License Status

CANCELLED

Business

First Name

LARRY DEAN

Last Name

SWANNER

Business Name

LARRY DEAN SWANNER

Original Issue Date

02/14/1975

Effective Date

02/14/1975

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/12/2007