AMANDA R LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137064

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

LARSON

Business Name

AMANDA R LARSON

Original Issue Date

07/03/2001

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008