COLLEEN J LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109718

License Status

NOT RENEWED

Business

First Name

COLLEEN J

Last Name

LARSON

Business Name

COLLEEN J LARSON

Original Issue Date

03/06/1995

Effective Date

03/06/1995

Expiration Date

03/31/1996

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005