JEREMIAH L LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197578

License Status

NOT RENEWED

Business

First Name

JEREMIAH

Middle

Last Name

LARSON

Business Name

JEREMIAH L LARSON

Original Issue Date

03/31/2010

Effective Date

03/31/2010

Expiration Date

03/31/2011

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/12/2011