LARISSA M URBAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168642

License Status

NOT RENEWED

Business

First Name

LARISSA

Middle

Last Name

URBAN

Business Name

LARISSA M URBAN

Original Issue Date

05/11/2006

Effective Date

02/21/2012

Expiration Date

03/31/2013

City

PORT BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2013