DONALD G LARSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026912

License Status

INACTIVE

Business

First Name

DONALD G

Last Name

LARSON

Business Name

DONALD G LARSON

Original Issue Date

01/01/1997

Effective Date

01/14/2010

Expiration Date

03/31/2012

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

01/12/2012