ANNA ROSE LARSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254694

License Status

NOT RENEWED

Business

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

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

06/19/2018