RACHAEL M LARSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152136

License Status

INACTIVE

Business

First Name

RACHAEL

Middle

Last Name

LARSON

Business Name

RACHAEL M LARSON

Original Issue Date

11/13/2003

Effective Date

03/02/2011

Expiration Date

03/31/2012

City

HAMPSHIRE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

01/12/2012