MARSHA J ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151337

License Status

NOT RENEWED

Business

First Name

MARSHA

Middle

Last Name

ANDERSON

Business Name

MARSHA J ANDERSON

Original Issue Date

10/07/2003

Effective Date

10/07/2003

Expiration Date

03/31/2005

City

PEORIA

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005