MICHAEL T ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115802

License Status

NOT RENEWED

Business

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

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005