LARRY E NELSON JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138518

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

Last Name

NELSON

Suffix

Business Name

LARRY E NELSON JR

Original Issue Date

10/01/2001

Effective Date

10/01/2001

Expiration Date

03/31/2002

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005