LEE ELLEN LARSON WEST - Pharmacist License in Illinois | # 051027660

LEE ELLEN LARSON WEST

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027660

License Status

INACTIVE

Business

N

First Name

LEE ELLEN LARSON

Last Name

WEST

Business Name

LEE ELLEN LARSON WEST

Original Issue Date

01/01/1997

Effective Date

01/20/2012

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

01/09/2014