KENNETH WALLACE ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049052805

License Status

NOT RENEWED

Business

First Name

KENNETH WALLACE

Last Name

ANDERSON

Business Name

KENNETH WALLACE ANDERSON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005