TIM LARSON - Pharmacist License in Illinois | # 049073859

TIM LARSON

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073859

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005