KYLE WAYNE LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175251

License Status

NOT RENEWED

Business

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

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008