MARK DONALD ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062563

License Status

NOT RENEWED

Business

First Name

MARK DONALD

Last Name

ANDERSON

Business Name

MARK DONALD ANDERSON

Original Issue Date

11/22/1974

Effective Date

11/22/1974

Expiration Date

01/01/1997

City

HOFFMAN ESTS

State

Zip

60172

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005