CARLY LAINE LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207578

License Status

NOT RENEWED

Business

First Name

CARLY

Middle

LAINE

Last Name

LARSON

Prefix

Business Name

CARLY LAINE LARSON

Original Issue Date

11/01/2011

Effective Date

02/10/2012

Expiration Date

03/31/2013

City

BUTTE

State

Zip

59701

Ever Disciplined

LastModifiedDate

05/06/2013