KYLE WAYNE LARSON - Pharmacist License in Illinois | # 049175251

KYLE WAYNE LARSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175251

License Status

NOT RENEWED

Business

N

First Name

KYLE

Middle

WAYNE

Last Name

LARSON

Business Name

KYLE WAYNE LARSON

Original Issue Date

04/02/2007

Effective Date

04/02/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008