KATHRYN MARY LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069877

License Status

NOT RENEWED

Business

First Name

KATHRYN MARY

Last Name

LARSON

Business Name

KATHRYN MARY LARSON

Original Issue Date

08/07/1978

Effective Date

08/07/1978

Expiration Date

01/01/1997

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005