JENNIFER R LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113099

License Status

NOT RENEWED

Business

First Name

JENNIFER R

Last Name

LARSON

Business Name

JENNIFER R LARSON

Original Issue Date

01/29/1996

Effective Date

01/29/1996

Expiration Date

03/31/1997

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005