JOHANNA DANIELLE LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195681

License Status

NOT RENEWED

Business

First Name

JOHANNA

Middle

DANIELLE

Last Name

LARSON

Business Name

JOHANNA DANIELLE LARSON

Original Issue Date

12/03/2009

Effective Date

02/25/2010

Expiration Date

03/31/2011

City

KNOXVILLE

State

Zip

61448

County

KNOX

Ever Disciplined

LastModifiedDate

05/12/2011