MAKENZI ASHLEY LEIGH LARSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049287613

License Status

NOT RENEWED

Business

First Name

MAKENZI

Middle

ASHLEY LEIGH

Last Name

LARSEN

Business Name

MAKENZI ASHLEY LEIGH LARSEN

Original Issue Date

11/04/2021

Effective Date

03/17/2022

Expiration Date

03/31/2023

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/07/2023