DANIEL ALBERT LARSON - Pharmacist License in Illinois | # 049134372

DANIEL ALBERT LARSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134372

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

ALBERT

Last Name

LARSON

Business Name

DANIEL ALBERT LARSON

Original Issue Date

01/16/2001

Effective Date

11/19/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009