GARY S ANDERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066892

License Status

NOT RENEWED

Business

First Name

GARY S

Last Name

ANDERSEN

Business Name

GARY S ANDERSEN

Original Issue Date

03/11/1977

Effective Date

03/11/1977

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005