KENNETH WALLACE ANDERSON - Pharmacist License in Illinois | # 049052805

KENNETH WALLACE ANDERSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049052805

License Status

NOT RENEWED

Business

N

First Name

KENNETH WALLACE

Last Name

ANDERSON

Business Name

KENNETH WALLACE ANDERSON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005