DAPHNE R ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106688

License Status

NOT RENEWED

Business

First Name

DAPHNE R

Last Name

ANDERSON

Business Name

DAPHNE R ANDERSON

Original Issue Date

04/25/1994

Effective Date

04/25/1994

Expiration Date

03/31/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005