SUSAN LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077008

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

LARSON

Business Name

SUSAN LARSON

Original Issue Date

09/02/1982

Effective Date

09/02/1982

Expiration Date

03/31/1986

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005