KATHLEEN JANE ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076962

License Status

NOT RENEWED

Business

First Name

KATHLEEN JANE

Last Name

ANDERSON

Business Name

KATHLEEN JANE ANDERSON

Original Issue Date

09/02/1982

Effective Date

09/02/1982

Expiration Date

03/31/1987

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005