ANDREA L KAVANAUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144999

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

KAVANAUGH

Business Name

ANDREA L KAVANAUGH

Original Issue Date

10/01/2002

Effective Date

10/01/2002

Expiration Date

03/31/2005

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005