BRIDGETTE ELIZABETH LARSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143944

License Status

NOT RENEWED

Business

First Name

BRIDGETTE

Middle

ELIZABETH

Last Name

LARSEN

Business Name

BRIDGETTE ELIZABETH LARSEN

Original Issue Date

07/31/2002

Effective Date

07/31/2002

Expiration Date

03/31/2004

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005