NICHOLAS M LARSON - Pharmacist License in Illinois | # 049201632

NICHOLAS M LARSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201632

License Status

NOT RENEWED

Business

N

First Name

NICHOLAS

Middle

M

Last Name

LARSON

Prefix

MR

Business Name

NICHOLAS M LARSON

Original Issue Date

11/19/2010

Effective Date

03/22/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013