MARY L ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073158

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

ANDERSON

Business Name

MARY L ANDERSON

Original Issue Date

06/27/1980

Effective Date

06/27/1980

Expiration Date

03/31/1986

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005