JADELL M ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141479

License Status

NOT RENEWED

Business

First Name

JADELL

Middle

Last Name

ANDERSON

Business Name

JADELL M ANDERSON

Original Issue Date

03/19/2002

Effective Date

03/01/2022

Expiration Date

03/31/2023

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

09/07/2023