LARISA D JENNINGS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098400

License Status

NOT RENEWED

Business

First Name

LARISA D

Last Name

JENNINGS

Business Name

LARISA D JENNINGS

Original Issue Date

10/16/1991

Effective Date

10/16/1991

Expiration Date

03/31/1992

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005