PRESTON L LARSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150464

License Status

NOT RENEWED

Business

First Name

PRESTON

Middle

Last Name

LARSEN

Business Name

PRESTON L LARSEN

Original Issue Date

08/27/2003

Effective Date

08/27/2003

Expiration Date

03/31/2004

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005