KENNETH D ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057749

License Status

NOT RENEWED

Business

First Name

KENNETH D

Last Name

ANDERSON

Business Name

KENNETH D ANDERSON

Original Issue Date

05/27/1972

Effective Date

05/27/1972

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005