JORDAN LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186983

License Status

NOT RENEWED

Business

First Name

JORDAN

Last Name

LARSON

Prefix

Business Name

JORDAN LARSON

Original Issue Date

09/14/2008

Effective Date

03/24/2016

Expiration Date

03/31/2017

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017