DAN J ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137342

License Status

NOT RENEWED

Business

First Name

DAN

Middle

Last Name

ANDERSON

Business Name

DAN J ANDERSON

Original Issue Date

07/23/2001

Effective Date

07/23/2001

Expiration Date

03/31/2003

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005