MICHELE L ANDERSEN - Pharmacist License in Illinois | # 049061222

MICHELE L ANDERSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061222

License Status

NOT RENEWED

Business

N

First Name

MICHELE L

Last Name

ANDERSEN

Business Name

MICHELE L ANDERSEN

Original Issue Date

04/08/1974

Effective Date

04/08/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005