TIM LARSON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073859

License Status

CANCELLED

Business

First Name

TIM

Last Name

LARSON

Business Name

TIM LARSON

Original Issue Date

11/07/1980

Effective Date

11/07/1980

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005