DYNASTY NICOLE ANDERSON - Pharmacist License in Illinois | # 049276643

DYNASTY NICOLE ANDERSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276643

License Status

NOT RENEWED

Business

N

First Name

DYNASTY

Middle

NICOLE

Last Name

ANDERSON

Business Name

DYNASTY NICOLE ANDERSON

Original Issue Date

10/14/2020

Effective Date

01/19/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022