MARLO M LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097687

License Status

NOT RENEWED

Business

First Name

MARLO M

Last Name

LARSON

Business Name

MARLO M LARSON

Original Issue Date

08/09/1991

Effective Date

08/09/1991

Expiration Date

03/31/1997

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005