GARY J LARSEN - Pharmacist License in Illinois | # 049067720

GARY J LARSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067720

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005