JEFFREY S LARSON - Pharmacist License in Illinois | # 049100822

JEFFREY S LARSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100822

License Status

NOT RENEWED

Business

N

First Name

JEFFREY S

Last Name

LARSON

Business Name

JEFFREY S LARSON

Original Issue Date

07/24/1992

Effective Date

07/24/1992

Expiration Date

03/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005