JODI D LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106893

License Status

NOT RENEWED

Business

First Name

JODI D

Last Name

LARSON

Business Name

JODI D LARSON

Original Issue Date

05/11/1994

Effective Date

05/11/1994

Expiration Date

03/31/2004

City

ROCHELLE

State

Zip

61068

County

OGLE

Ever Disciplined

LastModifiedDate

10/20/2005