PATRICIA RENEE LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129698

License Status

NOT RENEWED

Business

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

City

EAST PEORIA

State

Zip

61611

Ever Disciplined

LastModifiedDate

10/21/2005