DIANE L LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073613

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

LARSON

Business Name

DIANE L LARSON

Original Issue Date

10/03/1980

Effective Date

10/03/1980

Expiration Date

03/31/1984

City

MONTGOMERY

State

Zip

60538

County

KENDALL

Ever Disciplined

LastModifiedDate

10/17/2005