NICHOLAS M LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201632

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

LARSON

Prefix

Business Name

NICHOLAS M LARSON

Original Issue Date

11/19/2010

Effective Date

03/22/2012

Expiration Date

03/31/2013

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2013