JACK E ANDERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152592

License Status

NOT RENEWED

Business

First Name

JACK

Middle

Last Name

ANDERS

Business Name

JACK E ANDERS

Original Issue Date

12/18/2003

Effective Date

12/18/2003

Expiration Date

03/31/2005

City

MONTGOMERY

State

Zip

60538

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005