GLEN R LARSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026663

License Status

INACTIVE

Business

First Name

GLEN R

Last Name

LARSON

Business Name

GLEN R LARSON

Original Issue Date

01/01/1997

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHATTAROY

State

Zip

99003

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008