VIVIAN RUTH ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108598

License Status

NOT RENEWED

Business

First Name

VIVIAN

Middle

RUTH

Last Name

ANDERSON

Business Name

VIVIAN RUTH ANDERSON

Original Issue Date

10/24/1994

Effective Date

10/24/1994

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005