MARA J ANDERSEN - Pharmacist License in Illinois | # 049117227

MARA J ANDERSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117227

License Status

NOT RENEWED

Business

N

First Name

MARA

Middle

J

Last Name

ANDERSEN

Business Name

MARA J ANDERSEN

Original Issue Date

04/14/1997

Effective Date

04/14/1997

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005