MARK LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064482

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

LARSON

Business Name

MARK LARSON

Original Issue Date

11/14/1975

Effective Date

11/14/1975

Expiration Date

01/01/1997

City

ROSEMONT

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005