TIFFANY J LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049244130

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

LARSON

Prefix

Business Name

TIFFANY J LARSON

Original Issue Date

08/19/2016

Effective Date

08/19/2016

Expiration Date

03/31/2017

City

SPRING GROVE

State

Zip

60081

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/10/2017