AMANDA R LARSON - Pharmacist License in Illinois | # 049137064

AMANDA R LARSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137064

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

R

Last Name

LARSON

Business Name

AMANDA R LARSON

Original Issue Date

07/03/2001

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008