KEVIN R ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094395

License Status

NOT RENEWED

Business

First Name

KEVIN R

Last Name

ANDERSON

Business Name

KEVIN R ANDERSON

Original Issue Date

09/07/1990

Effective Date

09/07/1990

Expiration Date

03/31/1998

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005