THEODORE AXEL ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049050588

License Status

NOT RENEWED

Business

First Name

THEODORE AXEL

Last Name

ANDERSON

Business Name

THEODORE AXEL ANDERSON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

TOLONO

State

Zip

61880

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005