JUDITH E LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130766

License Status

NOT RENEWED

Business

First Name

JUDITH

Middle

Last Name

LARSON

Business Name

JUDITH E LARSON

Original Issue Date

05/04/2000

Effective Date

05/04/2000

Expiration Date

03/31/2003

City

ORION

State

Zip

61273

County

HENRY

Ever Disciplined

LastModifiedDate

10/20/2005