PATRICIA RENEE LARSON - Pharmacist License in Illinois | # 049129698

PATRICIA RENEE LARSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129698

License Status

NOT RENEWED

Business

N

First Name

PATRICIA

Middle

RENEE

Last Name

LARSON

Business Name

PATRICIA RENEE LARSON

Original Issue Date

03/02/2000

Effective Date

03/02/2000

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005