KAYLA ANN LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231497

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

ANN

Last Name

LARSON

Business Name

KAYLA ANN LARSON

Original Issue Date

03/05/2015

Effective Date

03/05/2015

Expiration Date

03/31/2016

City

BYRON

State

Zip

61010

County

OGLE

Ever Disciplined

LastModifiedDate

05/20/2016