ANNA ROSE LARSEN - Pharmacist License in Illinois | # 049254694

ANNA ROSE LARSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254694

License Status

NOT RENEWED

Business

N

First Name

ANNA

Middle

ROSE

Last Name

LARSEN

Business Name

ANNA ROSE LARSEN

Original Issue Date

12/01/2017

Effective Date

12/01/2017

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018