BRAD DAVID LARSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125164

License Status

NOT RENEWED

Business

First Name

BRAD

Middle

DAVID

Last Name

LARSEN

Business Name

BRAD DAVID LARSEN

Original Issue Date

03/26/1999

Effective Date

03/26/1999

Expiration Date

03/31/2006

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2006