PEGGIE L LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157807

License Status

NOT RENEWED

Business

First Name

PEGGIE

Middle

Last Name

LARSON

Business Name

PEGGIE L LARSON

Original Issue Date

11/10/2004

Effective Date

02/05/2013

Expiration Date

03/31/2014

City

MOUNT CARROLL

State

Zip

61053

County

CARROLL

Ever Disciplined

LastModifiedDate

05/06/2014