MARC D LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098713

License Status

NOT RENEWED

Business

First Name

MARC D

Last Name

LARSON

Business Name

MARC D LARSON

Original Issue Date

11/18/1991

Effective Date

11/18/1991

Expiration Date

03/31/1994

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005