KARLIE R LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184568

License Status

NOT RENEWED

Business

First Name

KARLIE

Middle

Last Name

LARSON

Business Name

KARLIE R LARSON

Original Issue Date

05/28/2008

Effective Date

02/23/2012

Expiration Date

03/31/2013

City

COTTAGE GROVE

State

Zip

53527

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/06/2013