SHANNON LEE LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144380

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

LEE

Last Name

LARSON

Business Name

SHANNON LEE LARSON

Original Issue Date

08/29/2002

Effective Date

08/29/2002

Expiration Date

03/31/2005

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/20/2005