JENELL LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257314

License Status

NOT RENEWED

Business

First Name

JENELL

Last Name

LARSON

Business Name

JENELL LARSON

Original Issue Date

04/05/2018

Effective Date

02/07/2019

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021