DIANE L LARSON - Pharmacist License in Illinois | # 049102627

DIANE L LARSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102627

License Status

NOT RENEWED

Business

N

First Name

DIANE L

Last Name

LARSON

Business Name

DIANE L LARSON

Original Issue Date

03/08/1993

Effective Date

03/08/1993

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005