ELLEN JOAN LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032182

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

JOAN

Last Name

LARSON

Business Name

ELLEN JOAN LARSON

Original Issue Date

08/17/1978

Effective Date

03/08/2022

Expiration Date

03/31/2024

City

CHICAGO

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025