MARIBETH LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168437

License Status

NOT RENEWED

Business

First Name

MARIBETH

Last Name

LARSON

Business Name

MARIBETH LARSON

Original Issue Date

05/05/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008