JACQUELINE SUSAN ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131373

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

SUSAN

Last Name

ANDERSON

Business Name

JACQUELINE SUSAN ANDERSON

Original Issue Date

06/28/2000

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

08/03/2018