SIR ANDRAE KEITH THOMAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139052

License Status

NOT RENEWED

Business

First Name

SIR ANDRAE

Middle

KEITH

Last Name

THOMAS

Business Name

SIR ANDRAE KEITH THOMAS

Original Issue Date

11/06/2001

Effective Date

11/06/2001

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006