CAROLYN RENEE ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134204

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

RENEE

Last Name

ANDERSON

Business Name

CAROLYN RENEE ANDERSON

Original Issue Date

12/22/2000

Effective Date

12/22/2000

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005