MIKAEL T ANDERSON - Pharmacist License in Illinois | # 049105264

MIKAEL T ANDERSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105264

License Status

NOT RENEWED

Business

N

First Name

MIKAEL T

Last Name

ANDERSON

Business Name

MIKAEL T ANDERSON

Original Issue Date

11/19/1993

Effective Date

11/19/1993

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005