MICHAIL LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263966

License Status

NOT RENEWED

Business

First Name

MICHAIL

Last Name

LARSON

Business Name

MICHAIL LARSON

Original Issue Date

04/03/2019

Effective Date

02/06/2020

Expiration Date

03/31/2021

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021