ANDY M STAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082808

License Status

NOT RENEWED

Business

First Name

ANDY M

Last Name

STAIN

Business Name

ANDY M STAIN

Original Issue Date

06/16/1986

Effective Date

06/16/1986

Expiration Date

03/31/1995

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005