ELLEN SANDRA ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137882

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

SANDRA

Last Name

ANDERSON

Business Name

ELLEN SANDRA ANDERSON

Original Issue Date

08/30/2001

Effective Date

08/30/2001

Expiration Date

03/31/2004

City

PROSPECT HTS.

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005