GARY J LARSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067720

License Status

NOT RENEWED

Business

First Name

GARY J

Last Name

LARSEN

Business Name

GARY J LARSEN

Original Issue Date

07/08/1977

Effective Date

07/08/1977

Expiration Date

01/01/1997

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005