SHEILA K LARSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170773

License Status

INACTIVE

Business

First Name

SHEILA K

Last Name

LARSON

Business Name

SHEILA K LARSON

Original Issue Date

08/23/2006

Effective Date

02/23/2011

Expiration Date

03/31/2012

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/12/2012