CHARLES EDWARD ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150578

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

EDWARD

Last Name

ANDERSON

Business Name

CHARLES EDWARD ANDERSON

Original Issue Date

09/15/2003

Effective Date

09/15/2003

Expiration Date

03/31/2005

City

CERRO GORDO

State

Zip

61818

County

PIATT

Ever Disciplined

LastModifiedDate

10/20/2005