LYLA K ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080067

License Status

NOT RENEWED

Business

First Name

LYLA K

Last Name

ANDERSON

Business Name

LYLA K ANDERSON

Original Issue Date

07/31/1984

Effective Date

07/31/1984

Expiration Date

03/31/2002

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Ever Disciplined

LastModifiedDate

12/06/2005