CHRISTIAN MONTGOMERY LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049301641

License Status

NOT RENEWED

Business

First Name

CHRISTIAN

Middle

MONTGOMERY

Last Name

LARSON

Business Name

CHRISTIAN MONTGOMERY LARSON

Original Issue Date

04/20/2023

Effective Date

04/20/2023

Expiration Date

03/31/2024

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

01/03/2025