TRISHA M ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124569

License Status

NOT RENEWED

Business

First Name

TRISHA

Middle

Last Name

ANDERSON

Business Name

TRISHA M ANDERSON

Original Issue Date

01/28/1999

Effective Date

01/28/1999

Expiration Date

03/31/2000

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005