MICHAEL T ANDERSON - Pharmacist License in Illinois | # 049115802

MICHAEL T ANDERSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115802

License Status

NOT RENEWED

Business

N

First Name

MICHAEL T

Last Name

ANDERSON

Business Name

MICHAEL T ANDERSON

Original Issue Date

11/01/1996

Effective Date

11/01/1996

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005