MIKAEL T ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105264

License Status

NOT RENEWED

Business

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

City

INDIAN CREEK

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005