COLTON LAWRENCE LARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236714

License Status

NOT RENEWED

Business

First Name

COLTON

Middle

LAWRENCE

Last Name

LARSON

Business Name

COLTON LAWRENCE LARSON

Original Issue Date

10/02/2015

Effective Date

03/20/2019

Expiration Date

09/30/2020

City

WAUWATOSA

State

Zip

53222

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/08/2021