STEVEN MICHAEL LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142139

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

MICHAEL

Last Name

LARSON

Business Name

STEVEN MICHAEL LARSON

Original Issue Date

05/02/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/14/2007