AMY D LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099792

License Status

NOT RENEWED

Business

First Name

AMY D

Last Name

LARSON

Business Name

AMY D LARSON

Original Issue Date

04/03/1992

Effective Date

04/03/1992

Expiration Date

03/31/1993

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005