LARISSA ELISE EVANS - Pharmacist License in Illinois | # 049276502

LARISSA ELISE EVANS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276502

License Status

NOT RENEWED

Business

N

First Name

LARISSA

Middle

ELISE

Last Name

EVANS

Business Name

LARISSA ELISE EVANS

Original Issue Date

10/09/2020

Effective Date

05/23/2022

Expiration Date

03/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

09/07/2023