MARA J ANDERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117227

License Status

NOT RENEWED

Business

First Name

MARA

Middle

Last Name

ANDERSEN

Business Name

MARA J ANDERSEN

Original Issue Date

04/14/1997

Effective Date

04/14/1997

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005