BRIAN ALAN LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032054

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022