SELENA LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260082

License Status

NOT RENEWED

Business

First Name

SELENA

Last Name

LARSON

Business Name

SELENA LARSON

Original Issue Date

09/26/2018

Effective Date

09/26/2018

Expiration Date

03/31/2019

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/15/2019