KELSIE JEAN LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250603

License Status

NOT RENEWED

Business

First Name

KELSIE

Middle

JEAN

Last Name

LARSON

Business Name

KELSIE JEAN LARSON

Original Issue Date

05/15/2017

Effective Date

05/15/2017

Expiration Date

03/31/2018

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

02/23/2021