GILLIAN MARIE LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252021

License Status

NOT RENEWED

Business

First Name

GILLIAN

Middle

MARIE

Last Name

LARSON

Business Name

GILLIAN MARIE LARSON

Original Issue Date

07/28/2017

Effective Date

03/28/2018

Expiration Date

03/31/2019

City

BYRON

State

Zip

61010

County

OGLE

Ever Disciplined

LastModifiedDate

07/15/2019