KAREN JEAN LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169347

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

JEAN

Last Name

LARSON

Business Name

KAREN JEAN LARSON

Original Issue Date

06/15/2006

Effective Date

06/15/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007