DONNA LEE LARSON - Pharmacist License in Illinois | # 049068355

DONNA LEE LARSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068355

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005