MARLENE J LARSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120006

License Status

NOT RENEWED

Business

First Name

MARLENE

Middle

Last Name

LARSEN

Business Name

MARLENE J LARSEN

Original Issue Date

02/04/1998

Effective Date

02/04/1998

Expiration Date

03/31/2001

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005