MICHELE L ANDERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061222

License Status

NOT RENEWED

Business

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

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005