STEPHANIE LEE LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117364

License Status

NOT RENEWED

Business

First Name

STEPHANIE LEE

Last Name

LARSON

Business Name

STEPHANIE LEE LARSON

Original Issue Date

04/24/1997

Effective Date

04/24/1997

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005