TEAH M ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129639

License Status

NOT RENEWED

Business

First Name

TEAH

Middle

Last Name

ANDERSON

Business Name

TEAH M ANDERSON

Original Issue Date

02/29/2000

Effective Date

02/29/2000

Expiration Date

03/31/2001

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005