ANDI MADDOX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071000

License Status

NOT RENEWED

Business

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

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005