ELIZABETH P LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150927

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

LARSON

Business Name

ELIZABETH P LARSON

Original Issue Date

09/25/2003

Effective Date

09/25/2003

Expiration Date

03/31/2005

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

10/20/2005