ANDREW B LY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115604

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

Business Name

ANDREW B LY

Original Issue Date

10/21/1996

Effective Date

10/21/1996

Expiration Date

03/31/2001

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005