MARLENE J LARSEN - Pharmacist License in Illinois | # 049120006

MARLENE J LARSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120006

License Status

NOT RENEWED

Business

N

First Name

MARLENE

Middle

J

Last Name

LARSEN

Business Name

MARLENE J LARSEN

Original Issue Date

02/04/1998

Effective Date

02/04/1998

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005