ROY R ANDERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073376

License Status

NOT RENEWED

Business

First Name

ROY R

Last Name

ANDERSEN

Business Name

ROY R ANDERSEN

Original Issue Date

08/01/1980

Effective Date

08/01/1980

Expiration Date

03/31/2002

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

12/06/2005