CAROLYN DENISE ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081053

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

DENISE

Last Name

ANDERSON

Business Name

CAROLYN DENISE ANDERSON

Original Issue Date

06/12/1985

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007