DANIEL ALBERT LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134372

License Status

NOT RENEWED

Business

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

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009