PATRICIA A LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064827

License Status

NOT RENEWED

Business

First Name

PATRICIA A

Last Name

LARSON

Business Name

PATRICIA A LARSON

Original Issue Date

02/06/1976

Effective Date

02/06/1976

Expiration Date

01/01/1997

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005