KATHLEEN MARY LARSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182471

License Status

INACTIVE

Business

First Name

KATHLEEN

Middle

MARY

Last Name

LARSON

Business Name

KATHLEEN MARY LARSON

Original Issue Date

02/28/2008

Effective Date

03/13/2009

Expiration Date

03/31/2010

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/03/2020