SUSAN L LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049244783

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

LARSON

Business Name

SUSAN L LARSON

Original Issue Date

09/19/2016

Effective Date

09/19/2016

Expiration Date

03/31/2017

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017