BRIAN ALAN LARSON - Pharmacist License in Illinois | # 051032054

BRIAN ALAN LARSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032054

License Status

NOT RENEWED

Business

N

First Name

BRIAN ALAN

Last Name

LARSON

Business Name

BRIAN ALAN LARSON

Original Issue Date

03/15/1978

Effective Date

12/22/2020

Expiration Date

07/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2022