LARISSA ELISE EVANS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276502

License Status

NOT RENEWED

Business

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

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

09/07/2023