DONNA LEE LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068355

License Status

NOT RENEWED

Business

First Name

DONNA LEE

Last Name

LARSON

Business Name

DONNA LEE LARSON

Original Issue Date

10/28/1977

Effective Date

10/28/1977

Expiration Date

03/31/1995

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

10/17/2005