ANDI MADDOX - Pharmacist License in Illinois | # 049071000

ANDI MADDOX

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071000

License Status

NOT RENEWED

Business

N

First Name

ANDI

Last Name

MADDOX

Business Name

ANDI MADDOX

Original Issue Date

04/13/1979

Effective Date

04/13/1979

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005